Healthcare Provider Details

I. General information

NPI: 1023636552
Provider Name (Legal Business Name): KATHRYN PETER LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2020
Last Update Date: 07/10/2020
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 29TH ST
SAN FRANCISCO CA
94110-4929
US

IV. Provider business mailing address

162 CORBETT AVE
SAN FRANCISCO CA
94114-1815
US

V. Phone/Fax

Practice location:
  • Phone: 414-801-9769
  • Fax:
Mailing address:
  • Phone: 414-801-9769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number18890
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: