Provider Demographics
NPI:1679964993
Name:LACROIX FAMILY CHIROPRACTIC P.C
Entity Type:Organization
Organization Name:LACROIX FAMILY CHIROPRACTIC P.C
Other - Org Name:WELL ADJUSTED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LACROIX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-855-3100
Mailing Address - Street 1:1000 DEAN ST STE 216
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-3383
Mailing Address - Country:US
Mailing Address - Phone:718-855-3100
Mailing Address - Fax:718-709-7715
Practice Address - Street 1:1000 DEAN ST STE 216
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-3383
Practice Address - Country:US
Practice Address - Phone:718-809-8401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012105111N00000X
NY012121111N00000X
111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty