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DR. THOMAS MARK LA CROIX PH.D.
>> Specialist/Technologist, Other >> Technologists, Technicians & Other Technical Service ProvidersRegistrant NPI Number: 1083056527
Individual Registrant:DR. THOMAS MARK LA CROIX PH.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
14157 BRANDING IRON DR HELENDALE, CA 92342-7736 US
Tel: 316-323-3828 Fax: --
Tel: 316-323-3828 Fax: --
Contact information for business:
PO BOX 2458 HELENDALE, CA 92342-2458 US
Tel: 316-323-3828 Fax: --
Tel: 316-323-3828 Fax: --
Registration Information:
NPI: 1083056527
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 246Z00000X | Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other | AZ | 1990 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
