MEDICARE: TARA METZGER L.AC.

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	304	OH

General Provider Information

NPI Number	:	1164880621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA METZGER L.AC.

Provider Business Mailing Address
First Line	:	7809 LAUREL AVE STE 11
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243-2673
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7809 LAUREL AVE STE 11
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243-2673
Country	:	US
Telephone Number	:	513-428-9355
Fax Number	:

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

Provider Enumeration Date	:	01/29/2016
Last Update Date	:	01/29/2016

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Directions to “ TARA METZGER L.AC.” Practice Location

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