Provider Demographics
NPI:1891015582
Name:LACROIX, STEPHANIE (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:
Last Name:LACROIX
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:LACROIX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
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:718-855-3100
Practice Address - Fax:718-709-7715
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012105111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor