MEDICARE: DR. LINDA ANN STONE D.O.M.

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	D.O.M 225 RX2	NM

General Provider Information

NPI Number	:	1336261767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA ANN STONE D.O.M.

Provider Business Mailing Address
First Line	:	522 W MERMOD ST
Second Line	:	SUITE 760
City	:	CARLSBAD
State	:	NM
Zip	:	88220-4907
Country	:	US
Telephone Number	:	505-302-1707
Fax Number	:	505-887-6824

Provider Business Practice Location Address
First Line	:	411 E CHURCH ST
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-6352
Country	:	US
Telephone Number	:	505-887-6824
Fax Number	:	505-887-6824

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

Provider Enumeration Date	:	04/05/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. LINDA ANN STONE D.O.M.” Practice Location

Language	Start Address	Practice Location

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