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NPI Code Detail

MEDICARE: LORI TRUE L AC

MEDICARE: LORI TRUE 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
1171100000XAcupuncturist010096AZ

General Provider Information

NPI Number : 1164261491
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI TRUE L AC
Provider Business Mailing Address
First Line : 11209 N TATUM BLVD STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85028-3092
Country : US
Telephone Number : 480-285-2180
Fax Number :
Provider Business Practice Location Address
First Line : 11209 N TATUM BLVD STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85028-3092
Country : US
Telephone Number : 480-285-2180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2024
Last Update Date : 05/24/2024

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Directions to “ LORI TRUE L AC” Practice Location

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