# LONNIE ASCHEBROOK ACUPUNCTURE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Nona Wellness Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124598727
- **Authorized official:** MR. LONNIE HENRY ASCHEBROOK DOM, DIPL. O.M, LA.C (ACUPUNCTURIST)
- **Authorized official phone:** (901) 376-5198

## Contact information

- **Practice address:** 6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
- **Practice address phone:** (901) 376-5198
- **Mailing address:** 9246 REYMONT ST, ORLANDO, FL 32827-3814
- **Mailing address phone:** (901) 376-5198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/27/2018
- **Last updated:** 10/27/2019