Louis Thomas Distasio, L.AC.

NPI #1629153085 in Springfield, Illinois

Provider Information

NPI Number: 1629153085
Entity Type: Individual
Name: Louis Thomas Distasio, L.AC.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Oct 26, 2006
Last Updated: Dec 8, 2020

Practice Location

Address: 716 S 2ND ST.
City: Springfield
State: Illinois
ZIP Code: 62704
Phone: (217) 544-8118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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