MEDICARE: MS. SHOWING ON 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	AC12315	CA

General Provider Information

NPI Number	:	1942449327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHOWING ON L.AC

Provider Business Mailing Address
First Line	:	211 SUTTER ST
Second Line	:	502
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 SUTTER ST
Second Line	:	800
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4405
Country	:	US
Telephone Number	:	415-508-5908
Fax Number	:

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

Provider Enumeration Date	:	02/09/2009
Last Update Date	:	04/18/2016

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