Healthcare Provider Details

I. General information

NPI: 1164558375
Provider Name (Legal Business Name): LILLIAN M MORGAN L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1417 E MARKET ST
YORK PA
17403-1254
US

IV. Provider business mailing address

1417 E MARKET ST
YORK PA
17403-1254
US

V. Phone/Fax

Practice location:
  • Phone: 717-887-4478
  • Fax: 717-699-4843
Mailing address:
  • Phone: 717-887-4478
  • Fax: 717-699-4843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK000711
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: