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Organization
SUSANNAH LEE LAC, INC
Active
Organization
SUSANNAH LEE LAC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSANNAH LEE L.AC. (OWNER)
(831) 477-7795
Entity
Organization
Contact information
Practice address
2840 PARK AVE, SUITE A, SOQUEL, CA 95073
(831) 515-8699
Mailing address
2840 PARK AVE, SUITE A, SOQUEL, CA 95073
(831) 515-8699
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 15007
CA
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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