# GRACE ACUPUNCTURE AND ORIENTAL MEDICINE

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

## Provider details

- **NPI number:** 1679033674
- **Authorized official:** MS. GRACE SEUNGHEE KIM LAC. (PRESIDENT)
- **Authorized official phone:** (781) 861-0560

## Contact information

- **Practice address:** 442 MARRETT RD STE 6, LEXINGTON, MA 02421-7749
- **Practice address phone:** (781) 861-0560
- **Practice address fax:** (781) 810-8799
- **Mailing address:** 442 MARRETT RD STE 6, LEXINGTON, MA 02421-7749
- **Mailing address phone:** (781) 861-0560
- **Mailing address fax:** (781) 810-8799

## Taxonomy

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

## Other

- **Enumeration date:** 03/25/2019
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 026496 | NCCAOM | — |
| 01 | — | 250192 | STATE LICENSE | MA |
