Lorenzo Tien Phan, L.Ac
Acupuncturist in Ormond Beach, FL. Individual provider (NPI-1).
NPI number1174697643
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174697643
- Entity type
- Individual (NPI-1)
- Name
- Lorenzo Tien Phan
- Credential
- L.Ac
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC00803 | TX | Yes |
Practice location
725 W Granada Blvd Unit 17Ormond Beach, FL 32174-5107
Phone 386-255-6953
Mailing address
946 15th St Apt 202Holly Hill, FL 32117-2076
Phone 386-212-9131
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All 7 Acupuncturist providers in Ormond Beach · All 1,764 providers in Ormond Beach
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