MEDICARE: JANICE K ROYCE 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	61	AK

General Provider Information

NPI Number	:	1205981768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE K ROYCE L.AC.

Provider Business Mailing Address
First Line	:	5721 E 97TH AVE
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-6621
Country	:	US
Telephone Number	:	907-830-0273
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 LAKE OTIS PKWY
Second Line	:	SUITE 200
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5207
Country	:	US
Telephone Number	:	907-830-0273
Fax Number	:

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	07/08/2007

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Directions to “ JANICE K ROYCE L.AC.” Practice Location

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