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NPI Verification

National Provider Identifier: 1578311049

Acupuncture by the Lake LLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (4)

Counselor

Code: 101Y00000X

Acupuncturist

Code: 171100000X

Massage Therapist

Code: 225700000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

2510 WASHINGTON ST

MANITOWOC, WI 542204858

Phone: 920-629-6126

NPI Enumeration Date

May 9, 2024

NPI Number

1578311049

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Acupuncture by the Lake LLC - NPI 1578311049 | Provider Verification | HormoneMap