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NPI Code Detail

MEDICARE: DR. YELENA OKHOTIN ND, LAC

MEDICARE: DR. YELENA OKHOTIN ND, 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
1175F00000XNaturopathNT61144434WA
2171100000XAcupuncturistAC61113831WA

General Provider Information

NPI Number : 1760076921
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YELENA OKHOTIN ND, LAC
Provider Business Mailing Address
First Line : 1520 SOUTH BLVD STE 228
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-3718
Country : US
Telephone Number : 704-569-5489
Fax Number :
Provider Business Practice Location Address
First Line : 1520 SOUTH BLVD STE 228
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-3718
Country : US
Telephone Number : 704-569-5489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2021
Last Update Date : 10/27/2025

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