MEDICARE: JOSHUA LEE 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
1	171100000X	Acupuncturist	19722	CA

General Provider Information

NPI Number	:	1770276560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA LEE L.AC

Provider Business Mailing Address
First Line	:	3685 BRANDING IRON PL
Second Line	:
City	:	DUBLIN
State	:	CA
Zip	:	94568-7297
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200A DANVILLE BLVD STE 100
Second Line	:
City	:	ALAMO
State	:	CA
Zip	:	94507-1971
Country	:	US
Telephone Number	:	925-587-9936
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2023
Last Update Date	:	05/30/2023

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Directions to “ JOSHUA LEE L.AC” Practice Location

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