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NPI Code Detail

MEDICARE: MELISSA DANA L.AC.

MEDICARE:   MELISSA  DANA  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
1171100000XAcupuncturist11876CA
2171100000XAcupuncturistAC60184416WA
3171100000XAcupuncturist004040NY

General Provider Information

NPI Number : 1477733541
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA DANA L.AC.
Provider Business Mailing Address
First Line : 2319 N 45TH ST
Second Line : STE 204
City : SEATTLE
State : WA
Zip : 98103-6982
Country : US
Telephone Number : 206-388-5881
Fax Number :
Provider Business Practice Location Address
First Line : 2319 N 45TH ST
Second Line : STE 204
City : SEATTLE
State : WA
Zip : 98103-6982
Country : US
Telephone Number : 206-388-5881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2007
Last Update Date : 10/28/2016

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Directions to “ MELISSA DANA L.AC.” Practice Location

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