MEDICARE: NEW WAY ACUPUNCTURE LLC

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

General Provider Information

NPI Number	:	1730021890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW WAY ACUPUNCTURE LLC

Provider Business Mailing Address
First Line	:	3102 PRISCILLAS VW
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-5140
Country	:	US
Telephone Number	:	301-818-9191
Fax Number	:

Provider Business Practice Location Address
First Line	:	3102 PRISCILLAS VW
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-5140
Country	:	US
Telephone Number	:	301-818-9191
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PHILIP Y LEE
Credential	:	LAC, DAC
Telephone Number	:	301-818-9191

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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