Healthcare Provider Details

I. General information

NPI: 1508018540
Provider Name (Legal Business Name): ZACHARY W PARSONS LIC.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2008
Last Update Date: 10/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 MASSACHUSETTS AVE
LEXINGTON MA
02420-4020
US

IV. Provider business mailing address

62 MASSACHUSETTS AVE
LEXINGTON MA
02420-4020
US

V. Phone/Fax

Practice location:
  • Phone: 781-860-8808
  • Fax:
Mailing address:
  • Phone: 781-860-8808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number203558
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: