MEDICARE: ELLIS SPRECHER L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	LAC-012236	AZ

General Provider Information

NPI Number	:	1003614587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLIS SPRECHER L.AC.

Provider Business Mailing Address
First Line	:	1801 E BLACKLIDGE DR UNIT 1
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-7400
Country	:	US
Telephone Number	:	520-338-8390
Fax Number	:

Provider Business Practice Location Address
First Line	:	3024 E FORT LOWELL RD STE 101
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1572
Country	:	US
Telephone Number	:	520-338-8390
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	03/03/2025

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Directions to “ ELLIS SPRECHER L.AC.” Practice Location

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