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NPI Code Detail

MEDICARE: LINDSEY COWHERD L.AC.

MEDICARE:   LINDSEY  COWHERD  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
1171100000XAcupuncturist14177CA

General Provider Information

NPI Number : 1548530207
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY COWHERD L.AC.
Provider Business Mailing Address
First Line : 5718 FERBER ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92122-3810
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4849 RONSON CT STE 100
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-1805
Country : US
Telephone Number : 719-207-0853
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2012
Last Update Date : 01/11/2012

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Directions to “ LINDSEY COWHERD L.AC.” Practice Location

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