Individual
AIMEE LYNN LESIEUTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
113 S. 10TH ST., PHILOMATH, OR 97370
(541) 929-3203
Mailing address
PO BOX 14, PHILOMATH, OR 97370-0014
(541) 929-3203
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150709
OR
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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