Individual
LEA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
194 MAIN ST, SUITE 203, ELLSWORTH, ME 04605-1939
(207) 812-8747
Mailing address
194 MAIN ST, SUITE 203, ELLSWORTH, ME 04605-1939
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC378
ME
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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