Individual provider · Type 1 NPI
Melissa Lacek, RDH, OMT
Specialist · Surprise, AZ
NPI number
1366188153
Active
Practice location
11272 N 186th Ct
Surprise, AZ 85388-1209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist | 124Q00000X | H5236 (AZ) |
| Specialist Primary | 174400000X | H5236 (AZ) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1366188153
Melissa Lacek, RDH, OMT's National Provider Identifier is 1366188153, issued on May 5, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Surprise, AZ. The record was last updated on May 5, 2022.