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NPI Code Detail

MEDICARE: ZACHARY MEADOWS L.AC.

MEDICARE:   ZACHARY  MEADOWS  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
1171100000XAcupuncturist19347CA

General Provider Information

NPI Number : 1508541954
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY MEADOWS L.AC.
Provider Business Mailing Address
First Line : 5713 N PERSHING AVE STE A2
Second Line :
City : STOCKTON
State : CA
Zip : 95207-4946
Country : US
Telephone Number : 209-373-9009
Fax Number :
Provider Business Practice Location Address
First Line : 5713 N PERSHING AVE STE A2
Second Line :
City : STOCKTON
State : CA
Zip : 95207-4946
Country : US
Telephone Number : 209-373-9009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2023
Last Update Date : 06/21/2023

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Directions to “ ZACHARY MEADOWS L.AC.” Practice Location

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