Provider Demographics
NPI:1659466167
Name:LACROIX, JOANNE MARY (L AC)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:MARY
Last Name:LACROIX
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
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Mailing Address - Street 1:6057 CAMINITO DEL OESTE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111
Mailing Address - Country:US
Mailing Address - Phone:858-278-8786
Mailing Address - Fax:858-278-8786
Practice Address - Street 1:3737 MORAGA AVE.
Practice Address - Street 2:SUITE A305
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117
Practice Address - Country:US
Practice Address - Phone:858-454-9771
Practice Address - Fax:858-454-9785
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC5432171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist