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NPI Code Detail

MEDICARE: MARYANNE LINDER L.AC.

MEDICARE: MARYANNE LINDER 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
1171100000XAcupuncturist65.000086OH

General Provider Information

NPI Number : 1437387339
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYANNE LINDER L.AC.
Provider Business Mailing Address
First Line : 3070 RIVERSIDE DR
Second Line : SUITE 160
City : COLUMBUS
State : OH
Zip : 43221-2547
Country : US
Telephone Number : 614-487-0874
Fax Number :
Provider Business Practice Location Address
First Line : 3070 RIVERSIDE DR
Second Line : SUITE 160
City : COLUMBUS
State : OH
Zip : 43221-2547
Country : US
Telephone Number : 614-487-0874
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2009
Last Update Date : 06/30/2009

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Directions to “ MARYANNE LINDER L.AC.” Practice Location

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