MEDICARE: ELISABETH NICHOLE DREYER 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	1625	CO
2	171100000X	Acupuncturist	10358219-1201	UT

General Provider Information

NPI Number	:	1720364771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISABETH NICHOLE DREYER L.AC.

Provider Business Mailing Address
First Line	:	5532 LILLEHAMMER LN STE 102
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84098-6078
Country	:	US
Telephone Number	:	970-618-4788
Fax Number	:

Provider Business Practice Location Address
First Line	:	5532 LILLEHAMMER LN STE 102
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84098-6078
Country	:	US
Telephone Number	:	970-618-4788
Fax Number	:

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

Provider Enumeration Date	:	10/21/2011
Last Update Date	:	02/21/2025

Similar Medicare Providers

1548243645 — DR. KELLY H WOODWARD I D.O., M.P.H.
Practice Location Address:

5532 LILLEHAMMER LN STE 102
PARK CITY, UT
84098-6078

Practice Phone: 435-659-7633
Practice Fax: 971-397-0394

1942524566 — AUTUMN BEAR L.AC
Practice Location Address:

5532 LILLEHAMMER LN STE 102
PARK CITY, UT
84098-6078

Practice Phone: 435-659-7633
Practice Fax: 971-397-0394

1841614625 — AUTUMN BEAR ACUPUNCTURE PLLC
Practice Location Address:

5532 LILLEHAMMER LN STE 102
PARK CITY, UT
84098-6078

Practice Phone: 435-659-7633
Practice Fax:

1700471208 — PATRICIA GALLOWAY
Practice Location Address:

6078 REUBEN BRANCH ROAD
SALT PARK, WV
25559

Practice Phone: 304-736-9285
Practice Fax:

1023386380 — CAREMAX INC.
Practice Location Address:

13100 BRIGHT PRAIRIE CIR
OKLAHOMA CITY, OK
73142-6078

Practice Phone: 405-474-7364
Practice Fax: 405-470-8367

1447507025 — KIA JOHNSON
Practice Location Address:

5800 SE 87TH ST
OKLAHOMA CITY, OK
73135-6078

Practice Phone: 405-455-6911
Practice Fax:

Directions to “ ELISABETH NICHOLE DREYER L.AC.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.