Melissa Lacek, RDH, OMT

NPI #1366188153 in Surprise, Arizona

Provider Information

NPI Number: 1366188153
Entity Type: Individual
Name: Melissa Lacek, RDH, OMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: RDH, OMT
Enumeration Date: May 5, 2022
Last Updated: May 5, 2022

Practice Location

Address: 11272 N 186TH CT
City: Surprise
State: Arizona
ZIP Code: 85388-1209
Phone: (602) 791-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Specialist	174400000X	Primary

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