Healthcare Provider Details

I. General information

NPI: 1134376155
Provider Name (Legal Business Name): BARBARA BATYAH STEIN LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2008
Last Update Date: 08/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

384 PINE HILL RD #16
MILL VALLEY CA
94941-3893
US

IV. Provider business mailing address

384 PINE HILL RD #16
MILL VALLEY CA
94941-3893
US

V. Phone/Fax

Practice location:
  • Phone: 415-388-8079
  • Fax: 415-388-8079
Mailing address:
  • Phone: 415-388-8079
  • Fax: 415-388-8079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number3151
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: