MEDICARE: HEATHER LYNNE LIPIN 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	U01065	MD

General Provider Information

NPI Number	:	1033555222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER LYNNE LIPIN L.AC.

Provider Business Mailing Address
First Line	:	4831 WEST LN
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-5317
Country	:	US
Telephone Number	:	301-587-5153
Fax Number	:

Provider Business Practice Location Address
First Line	:	4831 WEST LN
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-5317
Country	:	US
Telephone Number	:	301-587-5153
Fax Number	:

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

Provider Enumeration Date	:	05/15/2013
Last Update Date	:	05/15/2013

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