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NPI Code Detail

MEDICARE: MRS. CONSTANCE LOVEJOY RIGNEY L.AC.

MEDICARE: MRS. CONSTANCE LOVEJOY RIGNEY 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
1171100000XAcupuncturistAC00003086WA

General Provider Information

NPI Number : 1396997813
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CONSTANCE LOVEJOY RIGNEY L.AC.
Provider Business Mailing Address
First Line : 714 E 22ND ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98663-3211
Country : US
Telephone Number : 503-866-8319
Fax Number :
Provider Business Practice Location Address
First Line : 2400 BROADWAY ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98663-3229
Country : US
Telephone Number : 503-866-9319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2008
Last Update Date : 10/15/2008

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Directions to “ MRS. CONSTANCE LOVEJOY RIGNEY L.AC.” Practice Location

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