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Pearl Amanda Lasky, LMT

Acupuncturist in Oak Park, IL. Individual provider (NPI-1).

NPI number1578282927
StatusActive
Last updated in NPPESNov 18, 2024

Details

NPI
1578282927
Entity type
Individual (NPI-1)
Name
Pearl Amanda Lasky
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 26, 2022
Certification date
Nov 18, 2024
Last updated
Nov 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist198001669ILYes
225700000X Massage Therapist227021255IL

Practice location

115 N Marion St Ste 10
Oak Park, IL 60301-1503

Phone 630-926-1778

Mailing address

115 N Marion St Ste 8
Oak Park, IL 60301-1503

Phone 630-926-1778

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