Organization
BODY BALANCE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LINCOLN JOSE FRAGA LAC (OWNER)
(562) 925-0111
Entity
Organization
Contact information
Practice address
5220 CLARK AVE, SUITE 330, LAKEWOOD, CA 90712-2618
(562) 925-0111
Mailing address
5220 CLARK AVE, SUITE 330, LAKEWOOD, CA 90712-2618
(562) 925-0111
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 11494
CA
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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