DR. Mary Aline Cornelius, LAC, DAOM

NPI #1629887138 in Lehigh Acres, Florida

Provider Information

NPI Number: 1629887138
Entity Type: Individual
Name: DR. Mary Aline Cornelius, LAC, DAOM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC, DAOM
Enumeration Date: Dec 31, 2024
Last Updated: Dec 31, 2024

Practice Location

Address: 1067 SUMMA BLVD
City: Lehigh Acres
State: Florida
ZIP Code: 33974-5568
Phone: (510) 332-6817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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