Individual
ERIC ALLEN CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
22706 ASPAN ST, SUITE 504, LAKE FOREST, CA 92630-1603
(949) 916-1123
Mailing address
22863 RIDGE ROUTE LN, LAKE FOREST, CA 92630-3675
(949) 681-8444
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 13012
CA
Other
Enumeration date
03/19/2010
Last updated
06/08/2012
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