Individual
DR. LISA A SUMPTION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DAOM, L.AC.
Contact information
Practice address
598 BROADWAY FL 12, NEW YORK, NY 10012-3351
(646) 831-0549
Mailing address
598 BROADWAY FL 12, NEW YORK, NY 10012-3351
(646) 831-0549
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4909-01
NY
207R00000X
Internal Medicine Physician
004909-1
NY
Other
Enumeration date
10/01/2012
Last updated
05/10/2022
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