Individual
LILLIAN ANNE COOPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC LAC DIPL AC
Contact information
Practice address
550 LIGHT ST, HARBOR COURT HOTEL FITNESS CTR, BALT, MD 21202
(410) 926-8008
Mailing address
4312 PARKSIDE DR, BALTIMORE, MD 21206
(410) 926-8008
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01424
MD
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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