# EASTERN WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285257394
- **Authorized official:** THERESA ANN LUMMINO M.AC., L.AC. (ACUPUNCTURIST)
- **Authorized official phone:** (443) 844-6180

## Contact information

- **Practice address:** 2609 EBONY RD, PARKVILLE, MD 21234-1503
- **Practice address phone:** (443) 844-6180
- **Mailing address:** 2609 EBONY RD, PARKVILLE, MD 21234-1503
- **Mailing address phone:** (443) 844-6180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2020
- **Last updated:** 05/22/2020