Organization
EAGLE RIVER ACUPUNCTURE LLC.
Active
Other names
Eagle River Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
LEIF C. LIDIN-LAMON L.AC. (OWNER)
(907) 726-5200
Entity
Organization
Contact information
Practice address
11723 OLD GLENN HWY, SUITE 205, EAGLE RIVER, AK 99577-7733
(907) 726-5200
Mailing address
11723 OLD GLENN HWY, SUITE 205, EAGLE RIVER, AK 99577-7733
(907) 726-5200
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
A112
AK
Other
Enumeration date
02/26/2008
Last updated
01/28/2011
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