Active NPI
Laurice H Waclawik, LIC. AC.
- Acupuncturist
- Marion, MA
National Provider Identifier
1134296874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 333
- Practice address
- 345 Front St
Suite 103
Marion, MA 02738-1537 - Phone
- (508) 748-2700
- NPI assigned
- Nov 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 333 | MA | Primary |
Addresses
Primary practice location
345 Front St
Suite 103
Marion, MA 02738-1537
Mailing address
20 Ralyn Rd
Cotuit, MA 02635-3041
Phone (508) 748-2700
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 |
|---|---|---|---|
| 333 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134296874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 RALYN RD",
"city": "COTUIT",
"state": "MA",
"postal_code": "026353041",
"telephone_number": "508-748-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 FRONT ST",
"address_2": "SUITE 103",
"city": "MARION",
"state": "MA",
"postal_code": "027381537",
"telephone_number": "508-748-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACLAWIK",
"first_name": "LAURICE",
"middle_name": "H",
"credential": "LIC. AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.