# LISA A. DULAC

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447471578
- **Gender:** F
- **Credential:** L.AC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 296 | ME | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 12/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 098721 | ANTHEM BCBS OF CA | CA |
| 01 | — | 098721 | OUT OF NETWORK (ANTHEM) | ME |
| 01 | — | 200119 | ANTHEM BLUE CROSS BLUE SHIELD | ME |