Individual
ELISABETH LEE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L. AC MSTOM
Contact information
Practice address
850 S GREENVILLE AVE, SUITE 103, RICHARDSON, TX 75081-5090
(972) 669-1346
Mailing address
850 S GREENVILLE AVE, SUITE 103, RICHARDSON, TX 75081-5090
(773) 386-5843
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
198000965
IL
171100000X
Acupuncturist
Primary
AC01415
TX
Other
Enumeration date
08/14/2012
Last updated
02/07/2013
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