Individual
LEA HALVERSON SIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1477 W WHITE MOUNTAIN BLVD STE 3, LAKESIDE, AZ 85929-6767
(928) 821-6878
Mailing address
1477 W WHITE MOUNTAIN BLVD STE 3, LAKESIDE, AZ 85929-6767
(928) 821-6878
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
010075
AZ
225700000X
Massage Therapist
MT-26655
AZ
Other
Enumeration date
09/05/2008
Last updated
10/19/2022
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