Lacey Raposo | Elk Grove, CA • PECOS Search

Lacey Raposo

Chiropractor

Chiropractic Providers

4711 Laguna Blvd, 103, Elk Grove, CA 95758-7041

PECOS Enrollment

Based on the most recent information from CMS, provider Lacey Raposo does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:51 AM.

Profile Details

Provider ID
1285976530
Provider Type
Individual
Full Name
Raposo, Lacey
Title
Dr.
Credential
D.C.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/25/2013
Last Updated
3/25/2013

Contact Information

Practice Location

4711 Laguna Blvd, 103, Elk Grove, CA 95758-7041

Unlisted Fax

Mailing Location

4711 Laguna Blvd, 103, Elk Grove, CA 95758-7041

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 31973 California