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Individual
ALICIA LYN GRIMES
Active
Individual
ALICIA LYN GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
130790
MT
171100000X
Acupuncturist
168904
CO
171100000X
Acupuncturist
Primary
ACU.0002761
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130790
CAN PROVIDE SUPER BILL FOR CLIENTS TO BILL INSURANCE
MT
Enumeration date
04/06/2022
Last updated
05/01/2026
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