L Elyssia Herrick Nd Lac LLC

NPI #1871044529 in Ashland, Oregon

Provider Information

NPI Number: 1871044529
Entity Type: Organization
Organization Name: L Elyssia Herrick Nd Lac LLC
Primary Specialty: Naturopath
Enumeration Date: Oct 18, 2016
Last Updated: Oct 18, 2016

Practice Location

Address: 586 GLENWOOD DR
City: Ashland
State: Oregon
ZIP Code: 97520-3228
Phone: (541) 482-0409

Authorized Official

Name: DR. LINDA ELYSSIA HERRICK, N.D. L.AC. LLC
Title: OWNER
Phone: (541) 482-0409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Naturopath	175F00000X	Primary

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