# LILY ACUPUNCTURE HEALING SPACE

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

## Provider details

- **NPI number:** 1861942914
- **Authorized official:** MIN-HWA LEE DAOM (DOCTORE OF ACUPUNCTURE AND OM)
- **Authorized official phone:** (360) 718-7897

## Contact information

- **Practice address:** 1912 GRAND BLVD, VANCOUVER, WA 98661-4603
- **Practice address phone:** (360) 718-7897
- **Mailing address:** 1912 GRAND BLVD, VANCOUVER, WA 98661-4603
- **Mailing address phone:** (360) 718-7897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC 60651194 | WA | Yes |

## Other

- **Enumeration date:** 10/12/2016
- **Last updated:** 10/12/2016