MEDICARE: MARGARET PROCTOR LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	0121001135	VA
2	171100000X	Acupuncturist	0001986	CO
3	225700000X	Massage Therapist	0019019638	VA
4	171100000X	Acupuncturist	1986	CO

General Provider Information

NPI Number	:	1023434206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET PROCTOR LAC

Provider Business Mailing Address
First Line	:	7453 TIDEWATER DR
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23505-3844
Country	:	US
Telephone Number	:	757-855-1099
Fax Number	:	757-855-0598

Provider Business Practice Location Address
First Line	:	7453 TIDEWATER DR
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23505-3844
Country	:	US
Telephone Number	:	757-855-1099
Fax Number	:	757-855-0598

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2014
Last Update Date	:	01/23/2026

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Directions to “ MARGARET PROCTOR LAC” Practice Location

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