Healthcare Provider Details

I. General information

NPI: 1083748917
Provider Name (Legal Business Name): LYNN SCHWARTZ M.AC., L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8821 COLUMBIA 100 PKWY SUITE 5
COLUMBIA MD
21045-2168
US

IV. Provider business mailing address

11664 LOG JUMP TRL
ELLICOTT CITY MD
21042-1500
US

V. Phone/Fax

Practice location:
  • Phone: 410-992-9340
  • Fax: 410-761-8668
Mailing address:
  • Phone: 410-992-9340
  • Fax: 410-761-8668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU00482
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: