Healthcare Provider Details

I. General information

NPI: 1194464362
Provider Name (Legal Business Name): HEALING POINT ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2022
Last Update Date: 06/03/2022
Certification Date: 06/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3303 CAMINO DE LA SIERRA NE
ALBUQUERQUE NM
87111-5503
US

IV. Provider business mailing address

3303 CAMINO DE LA SIERRA NE
ALBUQUERQUE NM
87111-5503
US

V. Phone/Fax

Practice location:
  • Phone: 505-440-9103
  • Fax: 505-903-7788
Mailing address:
  • Phone: 505-440-9103
  • Fax: 505-903-7788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. NANETTE LARA
Title or Position: DOCTOR OF ORIENTAL MEDICINE
Credential: DOM
Phone: 505-440-9103