Healthcare Provider Details

I. General information

NPI: 1649320128
Provider Name (Legal Business Name): ELENA LEMBERG MELOUL N.D., M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1962 E CARSON DR
TEMPE AZ
85282-7444
US

IV. Provider business mailing address

1962 E CARSON DR
TEMPE AZ
85282-7444
US

V. Phone/Fax

Practice location:
  • Phone: 480-985-6001
  • Fax:
Mailing address:
  • Phone: 480-985-6001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number07-657534-G
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: