MEDICARE: JULIANNE ROSINSKI 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	5401000132	MI

General Provider Information

NPI Number	:	1245736230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANNE ROSINSKI L.AC.

Provider Business Mailing Address
First Line	:	4060 SPRINGER WAY APT 124
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48823-8330
Country	:	US
Telephone Number	:	517-525-7794
Fax Number	:	517-659-6063

Provider Business Practice Location Address
First Line	:	4994 PARK LAKE RD
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48823-3836
Country	:	US
Telephone Number	:	517-525-7794
Fax Number	:

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

Provider Enumeration Date	:	03/30/2018
Last Update Date	:	03/30/2018

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