Individual
MISS LORA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACUPUNCRTURE L. AC
Contact information
Practice address
110 S 20TH ST STE 200, PHILADELPHIA, PA 19103-4486
(401) 787-0454
Mailing address
2323 RACE ST UNIT 815, PHILADELPHIA, PA 19103-1084
(401) 787-0454
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001173
PA
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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