MEDICARE: BARBARA L. LAUGHLIN DIPL.OM, LAC

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	218	MT
2	171100000X	Acupuncturist	LAC-001103	AZ

General Provider Information

NPI Number	:	1376671230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA L. LAUGHLIN DIPL.OM, LAC

Provider Business Mailing Address
First Line	:	PO BOX 506
Second Line	:
City	:	DOLAN SPRINGS
State	:	AZ
Zip	:	86441
Country	:	US
Telephone Number	:	928-716-0417
Fax Number	:	928-767-3004

Provider Business Practice Location Address
First Line	:	16055 N PIERCE FERRY RD
Second Line	:	UNIT B
City	:	DOLAN SPRINGS
State	:	AZ
Zip	:	86441
Country	:	US
Telephone Number	:	928-716-0417
Fax Number	:	307-675-4400

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

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	02/20/2020

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