Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandra Modell, LAC

Individual provider Acupuncturist · NPI 1063043875

Alexandra Modell, LAC is an Acupuncturist in Glendale, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

5225 N Ironwood Rd Ste 102
Glendale, WI 53217-4909
Phone: (414) 491-2084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 948-55 (WI)

Record details

NPI number1063043875
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedJanuary 30, 2020
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020
Mailing address5225 N Ironwood Rd Ste 102, Glendale, WI 53217-4909

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