MEDICARE: TODD GEORGE LAC, MSOM, DIPL OM

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	371	NC
2	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1437680436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD GEORGE LAC, MSOM, DIPL OM

Provider Business Mailing Address
First Line	:	301 S MCDOWELL ST
Second Line	:	SUITE 907
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-2623
Country	:	US
Telephone Number	:	704-333-8899
Fax Number	:	704-333-8090

Provider Business Practice Location Address
First Line	:	301 S MCDOWELL ST
Second Line	:	SUITE 907
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-2623
Country	:	US
Telephone Number	:	704-333-8899
Fax Number	:	704-333-8090

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

Provider Enumeration Date	:	03/22/2017
Last Update Date	:	03/22/2017

Similar Medicare Providers

1366386583 — INTEGRITY MENTAL HEALTH SERVICES PLLC
Practice Location Address:

301 S MCDOWELL ST STE 125-1411
CHARLOTTE, NC
28204-2623

Practice Phone: 252-333-4761
Practice Fax:

1275659724 — CHARLOTTE ACUPUNCTURE AND WELLNESS CENTER, INC.
Practice Location Address:

301 S MCDOWELL STREET , SUITE 907
CHARLOTTE, NC
28204-2623

Practice Phone: 704-333-8899
Practice Fax: 704-333-8090

1982013355 — ERICA LAUREN ROSEN MAOM, LAC
Practice Location Address:

301 S MCDOWELL ST , SUITE 907
CHARLOTTE, NC
28204-2623

Practice Phone: 704-333-8899
Practice Fax:

1093376691 — TARA KEEL LCSW
Practice Location Address:

301 S MCDOWELL ST STE 125-1443
CHARLOTTE, NC
28204-2623

Practice Phone: 910-317-3456
Practice Fax: 704-275-9915

1407433840 — JASMINE S IVERSON LCSW
Practice Location Address:

301 S MCDOWELL ST STE 125-1325
CHARLOTTE, NC
28204-2623

Practice Phone: 336-317-3529
Practice Fax:

1225790629 — CHARLIE'S ANGELS HOME HEALTH CARE AGENCY
Practice Location Address:

301 S MCDOWELL ST
CHARLOTTE, NC
28204-2623

Practice Phone: 704-918-7966
Practice Fax:

Directions to “ TODD GEORGE LAC, MSOM, DIPL OM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.