Provider Demographics
NPI:1083881965
Name:DE LARCO, CHRISTI (LAC)
Entity type:Individual
Prefix:DR
First Name:CHRISTI
Middle Name:
Last Name:DE LARCO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-1844
Mailing Address - Country:US
Mailing Address - Phone:919-813-0103
Mailing Address - Fax:
Practice Address - Street 1:18 W COLONY PL STE 120
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-5597
Practice Address - Country:US
Practice Address - Phone:919-813-0103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-10
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002718171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist