Active NPI
Stephanie Lazcano, LAC
- Acupuncturist
- Chicago, IL
National Provider Identifier
1104673383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198001643
- Practice address
- 308 W Erie St Ste 100
Chicago, IL 60654-3914 - Phone
- (312) 877-5155
- NPI assigned
- May 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198001643 | IL | Primary |
Addresses
Primary practice location
308 W Erie St Ste 100
Chicago, IL 60654-3914
Mailing address
29W114 Barnes Ave
West Chicago, IL 60185-3631
Other practice location 1
1022 W Armitage Ave
Chicago, IL 60614-4102
Phone (312) 414-0058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198001643 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714780800000",
"number": "1104673383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29W114 BARNES AVE",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601853631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 W ERIE ST STE 100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606543914",
"telephone_number": "312-877-5155"
}
],
"practiceLocations": [
{
"address_1": "1022 W Armitage Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606144102",
"country_code": "US",
"telephone_number": "312-414-0058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAZCANO",
"first_name": "STEPHANIE",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-04",
"last_updated": "2024-05-04",
"certification_date": "2024-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198001643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.