MEDICARE: LOPEZ ACUPUNCTURE @ INTEGRATED HEALTH

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	AC60074458	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1184761504	OTHER	WA	NPI

General Provider Information

NPI Number	:	1619384559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOPEZ ACUPUNCTURE @ INTEGRATED HEALTH

Provider Business Mailing Address
First Line	:	2108 FISHERMAN BAY RD APT D
Second Line	:
City	:	LOPEZ ISLAND
State	:	WA
Zip	:	98261-8519
Country	:	US
Telephone Number	:	360-468-3239
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 LOPEZ ROAD
Second Line	:
City	:	LOPEZ ISLAND
State	:	WA
Zip	:	98261-8519
Country	:	US
Telephone Number	:	360-468-3239
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JULIENNE BATTALIA
Credential	:	EAMP, LAC, LMP
Telephone Number	:	360-468-3239

Provider Enumeration Date	:	07/11/2014
Last Update Date	:	07/11/2014

Similar Medicare Providers

1679883110 — LOPEZ ACUPUNCTURE & INTEGRATED HEALTH
Practice Location Address:

2108 FISHERMAN BAY RD APT D
LOPEZ ISLAND, WA
98261-8519

Practice Phone: 360-468-3239
Practice Fax:

1629071493 — PARKHILL PHARMACY, INC.
Practice Location Address:

352 LOPEZ ROAD
LOPEZ ISLAND, WA
98261-0190

Practice Phone: 360-468-2616
Practice Fax: 360-468-3825

1336142967 — MR. RICHARD C MCCOY JR. R.PH.
Practice Location Address:

352 LOPEZ ROAD
LOPEZ ISLAND, WA
98261-0190

Practice Phone: 360-468-2616
Practice Fax: 360-468-3825

1245233873 — MRS. MARGARET A MCCOY R.PH.
Practice Location Address:

157 VILLAGE ROAD
LOPEZ ISLAND, WA
98261-0190

Practice Phone: 360-468-2616
Practice Fax: 360-468-3825

1780618611 — LOPEZ ISLAND SCHOOL DISTRICT
Practice Location Address:

86 SCHOOL RD
LOPEZ ISLAND, WA
98261-8000

Practice Phone: 360-468-2202
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1114938347 — AIMEE NASSOIY L.M.P.
Practice Location Address:

33 WEEKS RD.LOPEZ MASSAGEWORKS , LOPEZ PLAZA BUILDING
LOPEZ ISLAND, WA
98261

Practice Phone: 360-468-3239
Practice Fax:

Directions to “LOPEZ ACUPUNCTURE @ INTEGRATED HEALTH ” Practice Location

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