Healthcare Provider Details

I. General information

NPI: 1386779650
Provider Name (Legal Business Name): MARIE TAGHER LAC, CAC, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MIMI TAGHER LAC, CAC, LMT

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 05/25/2020
Certification Date: 05/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7413 US HIGHWAY 42 SUITE 3
FLORENCE KY
41042-1999
US

IV. Provider business mailing address

7309 US HIGHWAY 42 STE 1
FLORENCE KY
41042-1966
US

V. Phone/Fax

Practice location:
  • Phone: 859-525-5000
  • Fax:
Mailing address:
  • Phone: 859-525-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberKY AC 018
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: