Provider Demographics
NPI:1083867998
Name:STECKI, CHERYL (LAC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:STECKI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:30812 CALLE BARBOSA
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-5507
Mailing Address - Country:US
Mailing Address - Phone:949-293-9546
Mailing Address - Fax:949-429-2438
Practice Address - Street 1:24470 DEL PRADO
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-2739
Practice Address - Country:US
Practice Address - Phone:949-293-9546
Practice Address - Fax:949-429-2438
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 12606171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist