Provider Demographics
NPI:1942330741
Name:VRACIN, LUCIA (DC)
Entity Type:Individual
Prefix:DR
First Name:LUCIA
Middle Name:
Last Name:VRACIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9431 COPPERTOP LOOP NE UNIT 204
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-3684
Mailing Address - Country:US
Mailing Address - Phone:206-842-6655
Mailing Address - Fax:206-842-6677
Practice Address - Street 1:9431 COPPERTOP LOOP NE UNIT 204
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-3684
Practice Address - Country:US
Practice Address - Phone:206-842-6655
Practice Address - Fax:206-842-6677
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3595111N00000X
CA22670111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB34482Medicare ID - Type Unspecified