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Organization
LAKE LIFE ACUPUNCTURE, LLC
Active
Organization
LAKE LIFE ACUPUNCTURE, LLC
Active
Other names
Lake Life Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE DAVIS DAOM (OWNER)
(206) 858-1543
Entity
Organization
Contact information
Practice address
200 MAIN ST, SANDPOINT, ID 83864-1435
(208) 264-0644
Mailing address
200 MAIN ST, SANDPOINT, ID 83864-1435
(208) 264-0644
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
NULL
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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