Individual
MRS. IVA LIM PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC.,DIPL.AC.,RN
Contact information
Practice address
5924 W PARKER RD STE 100, PLANO, TX 75093-6417
(972) 473-9070
(972) 473-9072
Mailing address
5924 W PARKER RD STE 100, PLANO, TX 75093-6417
(972) 473-9070
(972) 473-9072
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11523520
CAQH PROVIDER ID
TX
Enumeration date
07/03/2007
Last updated
07/08/2007
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