MS. DEBORAH STICKNEY LACZKO (NPI# 1578771556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578771556 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH STICKNEY LACZKO |
| Credential | LMT, FOMT, NCTMB |
| Practice Address |
2711 W Sr 434 Longwood FL 32779-4880 |
| Practice Telephone | 4078625090 |
| Mailing Telephone | 4078625090 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MM15363 | FL | Other Service Providers |
| Y | 174400000X | Specialist | MA35774 | FL | Other Service Providers |
| Street Address |
2711 W SR 434 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32779-4880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386708915 | Kaelin M Martin | Massage Therapist | 2711 W Sr 434, Longwood, FL 32779-4880 | 2006-12-20 |
| 1316494743 | Kimberly Watson, D.c., P.a. | Chiropractor | 2711 W Sr 434, Longwood, FL 32779-4880 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268854 | Erin Nicole Marsh | Speech-Language Pathologist | 2957 W State Rd. 434 Suite 100, Longwood, FL 32779 | 2020-02-23 |
| 1902443294 | Melanie Lynn Milner | Chiropractor | 2160 West S.r. 434, Unit 108, Longwood, FL 32779 | 2019-12-05 |
| 1538723440 | Darby Anne Santora | Speech-Language Pathologist | 2957 W 434 State Road, #100, Longwood, FL 32779 | 2019-04-25 |
| 1508336645 | Lashawnda L Richmond | Counselor | 207 Briar Cliff Dr, Longwood, FL 32779 | 2018-12-02 |
| 1992275598 | The Center of Life Counseling, LLC | Clinic/Center | 300 N. Ronald Reagan Blvd. #302, Longwood, FL 32779 | 2018-11-27 |
| 1770052508 | Megan Elizabeth Runyan | Speech-Language Pathologist | 1511 Suzanne Way, Longwood, FL 32779 | 2018-11-22 |
| 1003398447 | Neha Patel | Physical Therapist | 500 Village Place, Longwood, FL 32779 | 2018-09-01 |
| 1487146122 | Wai Acupuncture & Integrative Chinese Medicine LLC | Acupuncturist | 2901 West S.r. 434, Suite 141, Longwood, FL 32779 | 2018-05-30 |
| 1396130217 | Alison Marie Nasuti | Occupational Therapy Assistant | 2989 Wsr 434, Suite 200, Longwood, FL 32779 | 2015-03-30 |
| 1346646288 | Abby Louise Hertel | Speech-Language Pathologist | 2917 W State Road 434, Longwood, FL 32779 | 2014-11-04 |
| Find all providers in zip 32779 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588060958 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 2933 W State Road 434, Ste 101, Longwood, FL 32779-4457 | 2014-11-13 |
| 1134478605 | Carrasquero Pediatrics and Associates | Specialist | 407 Wekiva Springs Road, Suite 110, Longwood, FL 32779 | 2012-08-30 |
| 1316245483 | Esther Garay | Specialist | 245 South Ronald Reagan Blvd., Longwood, FL 32750 | 2011-03-14 |
| 1821396847 | Stephanie Victoria Vales | Specialist | 206 Charles Street, Longwood, FL 32750-5402 | 2011-03-01 |
| 1316173255 | Angela Kristine Harlow | Specialist | 245 S Ronald Reagan Blvd, Longwood, FL 32750-5402 | 2009-06-05 |
| 1366645228 | Marisa L Burkhart | Specialist | 285 W Pine Ave, Longwood, FL 32750-4138 | 2007-06-07 |
| 1154530400 | William Donnell Heath | Specialist | 130 Stone Post Rd, Longwood, FL 32779-2745 | 2007-05-22 |
| 1093932006 | Leisa Youel | Specialist | 1005 Lake Front Ln, Longwood, FL 32779-4827 | 2007-04-19 |
| 1427179985 | Lorie Schultz Barber | Specialist | 918 Woodgate Trl, Longwood, FL 32750-2989 | 2007-04-03 |
| 1275696437 | Elias C Jacobo | Specialist | 515 West Sr 434 Suite 302, Longwood, FL 32750-3275 | 2006-12-19 |
| Find all providers in LONGWOOD | ||||
Please comment or provide details below to improve the information on MS. DEBORAH STICKNEY LACZKO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.