Provider Demographics
NPI:1285792192
Name:LABRUZZO, CYNTHIA RACHEL (LICAC, MAC,DIPLAC)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:RACHEL
Last Name:LABRUZZO
Suffix:
Gender:F
Credentials:LICAC, MAC,DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BOSTON RD STE 104
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3046
Mailing Address - Country:US
Mailing Address - Phone:978-256-9499
Mailing Address - Fax:978-256-1978
Practice Address - Street 1:6 BOSTON RD STE 104
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3046
Practice Address - Country:US
Practice Address - Phone:978-256-9499
Practice Address - Fax:978-256-1978
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA370171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist