Individual
MS. SARA LEE ELIJAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
176 THOMAS JOHNSON DR STE 204, FREDERICK, MD 21702-4538
(410) 967-1773
Mailing address
2703 EGRET WAY, FREDERICK, MD 21701-1913
(410) 967-1773
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U 01125
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039242
JOHNS HOPKINS EHP INSURAN
MD
01
—
BN54SL
CAREFIRST BLUECROSS
MD
01
—
H998
CAREFIRST BLUECROSS
MD
Enumeration date
12/12/2006
Last updated
12/09/2016
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