# EASTWEST WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastwest Integrated Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386252351
- **Authorized official:** LUCY SURYA DAOM, LAC (CEO/CO-FOUNDER)
- **Authorized official phone:** (520) 308-5289

## Contact information

- **Practice address:** 7440 N ORACLE RD BLDG 4, TUCSON, AZ 85704-6378
- **Practice address phone:** (520) 308-5289
- **Practice address fax:** (520) 989-3025
- **Mailing address:** 60568 E EAGLE RIDGE DR, TUCSON, AZ 85739-5945
- **Mailing address phone:** (786) 908-6166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2020
- **Last updated:** 11/18/2021