Organization
LAKE LIFE ACUPUNCTURE, LLC
Active
Other names
Lake Life Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE DAVIS DAOM (OWNER)
(206) 858-1543
Entity
Organization
Contact information
Practice address
200 MAIN ST, SANDPOINT, ID 83864-1435
(208) 264-0644
Mailing address
200 MAIN ST, SANDPOINT, ID 83864-1435
(208) 264-0644
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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