Eagle River Acupuncture LLC.
Acupuncturist in Eagle River, AK. Organization (NPI-2).
NPI number1609045459
StatusActive
Last updated in NPPESJan 28, 2011
Details
- NPI
- 1609045459
- Entity type
- Organization (NPI-2)
- Legal business name
- Eagle River Acupuncture LLC.
- Organization subpart
- No
- Enumeration date
- Feb 26, 2008
- Last updated
- Jan 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | A112 | AK | Yes |
Other names
- Eagle River Acupuncture (Doing Business As)
Practice location
11723 Old Glenn HwySuite 205
Eagle River, AK 99577-7733
Phone 907-726-5200
Mailing address
11723 Old Glenn HwySuite 205
Eagle River, AK 99577-7733
Phone 907-726-5200
Authorized official
Leif C. Lidin-Lamon
Owner
9077265200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Acupuncturist providers in Eagle River, AK
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.