Healthcare Provider Details

I. General information

NPI: 1972453199
Provider Name (Legal Business Name): LUCIANA TEIXEIRA FERNANDES DE MORAES L.AC., DIPL. O.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 W BRIDGE ST STE 2
NEW HOPE PA
18938-1363
US

IV. Provider business mailing address

312 STANWORTH LN
PRINCETON NJ
08540-3726
US

V. Phone/Fax

Practice location:
  • Phone: 215-693-2109
  • Fax:
Mailing address:
  • Phone: 609-356-3174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK001463
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: