Organization
GRACE ACUPUNCTURE AND ORIENTAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE SEUNGHEE KIM LAC. (PRESIDENT)
(781) 861-0560
Entity
Organization
Contact information
Practice address
442 MARRETT RD STE 6, LEXINGTON, MA 02421-7749
(781) 861-0560
(781) 810-8799
Mailing address
442 MARRETT RD STE 6, LEXINGTON, MA 02421-7749
(781) 861-0560
(781) 810-8799
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026496
NCCAOM
—
01
—
250192
STATE LICENSE
MA
Enumeration date
03/25/2019
Last updated
06/11/2019
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