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NPI Code Detail

MEDICARE: MRS. ANNELIESE VALERY COULE LAC

MEDICARE:  MRS. ANNELIESE VALERY COULE  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
1171100000XAcupuncturistAP4152FL

General Provider Information

NPI Number : 1548969975
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNELIESE VALERY COULE LAC
Provider Business Mailing Address
First Line : 1020 PASEO ANDORRA
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33405-2023
Country : US
Telephone Number : 772-233-1122
Fax Number :
Provider Business Practice Location Address
First Line : 1020 PASEO ANDORRA
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33405-2023
Country : US
Telephone Number : 772-233-1122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2023
Last Update Date : 05/29/2023

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Directions to “ MRS. ANNELIESE VALERY COULE LAC” Practice Location

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