Individual
DIANE E. LEWIS FARRELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
206 ASHLAND ST S, CAMBRIDGE, MN 55008-1517
(763) 689-2961
Mailing address
1472 BRUNSWICK RD, HARRIS, MN 55032-3807
(763) 689-2961
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1037
MN
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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