Individual
LISA E RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.AC., L.AC.
Contact information
Practice address
20243 BROOKVIEW SQ, ASHBURN, VA 20147-2767
(703) 973-5472
Mailing address
20243 BROOKVIEW SQ, ASHBURN, VA 20147-2767
(703) 973-5472
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000430
VA
171100000X
Acupuncturist
AP1903
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24054
NCCAOM CERTIFICATION
—
Enumeration date
05/14/2007
Last updated
07/15/2011
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