Organization
MCLEAN CENTER FOR COMPLEMENTARY AND ALTERNATIVE MEDICINE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR Y FAN LAC (PRESIDENT)
(703) 499-4428
Entity
Organization
Contact information
Practice address
8214 OLD COURTHOUSE RD, VIENNA, VA 22182-3885
(703) 499-4428
(703) 547-8197
Mailing address
8214 OLD COURTHOUSE RD, VIENNA, VA 22182-3885
(703) 499-4428
(703) 547-8197
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000278
VA
171100000X
Acupuncturist
AC30091
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J3980001
CAREFIRST BCBS PROVIDERID
VA
Enumeration date
10/23/2006
Last updated
08/22/2020
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