# INTEGRATIVE ORIENTAL MEDICINE LLC

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

## Provider details

- **NPI number:** 1538508759
- **Authorized official:** DANIEL ROGER LEWIS (ACUPUNCTURE PHYSICIAN)
- **Authorized official phone:** (561) 889-6662

## Contact information

- **Practice address:** 2247 PALM BEACH LAKES BLVD, SUITE 204B, WEST PALM BEACH, FL 33409-3470
- **Practice address phone:** (561) 889-6662
- **Mailing address:** 5560A N OCEAN BLVD, OCEAN RIDGE, FL 33435-7038
- **Mailing address phone:** (561) 889-6662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP1583 | FL | Yes |

## Other

- **Enumeration date:** 06/20/2013
- **Last updated:** 06/20/2013