Organization
EQUILBRATE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANIE QUAN LAC (OWNER)
(650) 784-8422
Entity
Organization
Contact information
Practice address
1451 W 11TH ST, TRACY, CA 95376-3733
(650) 784-8422
Mailing address
2181 N.TRACY BLVD, SUITE 247, SUITE 247, TRACY, CA 95376
(165) 078-4842
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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