MEDICARE: DR. MEREDITH LUCIA LIGUORI DACM, MSTOM

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	007061	NY

General Provider Information

NPI Number	:	1942066956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEREDITH LUCIA LIGUORI DACM, MSTOM

Provider Business Mailing Address
First Line	:	2112 DUNNWOOD HILLS DR
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-4162
Country	:	US
Telephone Number	:	201-956-3081
Fax Number	:

Provider Business Practice Location Address
First Line	:	741 KENILWORTH AVE STE 204
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-3873
Country	:	US
Telephone Number	:	704-307-7821
Fax Number	:

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

Provider Enumeration Date	:	02/27/2024
Last Update Date	:	01/21/2025

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