Provider Demographics
NPI:1548786494
Name:ALINCY, LAUKIE
Entity Type:Individual
Prefix:
First Name:LAUKIE
Middle Name:
Last Name:ALINCY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3290 NW 23RD CT
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33311-2739
Mailing Address - Country:US
Mailing Address - Phone:754-242-4674
Mailing Address - Fax:
Practice Address - Street 1:3290 NW 23RD CT
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33311-2739
Practice Address - Country:US
Practice Address - Phone:754-242-4674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other