Eagle River Acupuncture Llc.

NPI #1609045459 in Eagle River, Alaska

Provider Information

NPI Number: 1609045459
Entity Type: Organization
Organization Name: Eagle River Acupuncture Llc.
Primary Specialty: Acupuncturist
Enumeration Date: Feb 26, 2008
Last Updated: Jan 28, 2011

Practice Location

Address: 11723 OLD GLENN HWY
Address 2: SUITE 205
City: Eagle River
State: Alaska
ZIP Code: 99577-7733
Phone: (907) 726-5200

Authorized Official

Name: LEIF C. LIDIN-LAMON, L.AC.
Title: OWNER
Phone: (907) 726-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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