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NPI Code Detail

MEDICARE: JESSICA JANOWICZ LAC.

MEDICARE: JESSICA JANOWICZ LAC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist5402000331MI

General Provider Information

NPI Number : 1902283591
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA JANOWICZ LAC.
Provider Business Mailing Address
First Line : 4977 SKYVIEW CT STE 2
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-6941
Country : US
Telephone Number : 720-655-2563
Fax Number :
Provider Business Practice Location Address
First Line : 4977 SKYVIEW CT STE 2
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-6941
Country : US
Telephone Number : 720-655-2563
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2015
Last Update Date : 03/30/2026

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Directions to “ JESSICA JANOWICZ LAC.” Practice Location

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