Individual
LORA LOLANE GLUNDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
136 W SENECA ST, MANLIUS, NY 13104-2420
(315) 559-7876
Mailing address
136 W SENECA ST, MANLIUS, NY 13104-2420
(315) 559-7876
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003340
NY
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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