Organization
LIFE IS SIMPLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYSA PHAN L.AC (OWNER)
(301) 960-8887
Entity
Organization
Contact information
Practice address
11018 LOCKWOOD DR, SILVER SPRING, MD 20901-4534
(301) 960-8887
Mailing address
11018 LOCKWOOD DR, SILVER SPRING, MD 20901-4534
(301) 960-8887
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01511
MD
Other
Enumeration date
03/07/2018
Last updated
08/17/2018
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