MEDICARE: ANN MARTIN KRAUS 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	002266	NY

General Provider Information

NPI Number	:	1780857755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MARTIN KRAUS L.AC.

Provider Business Mailing Address
First Line	:	1996 SARANAC AVE
Second Line	:	STE. 2
City	:	LAKE PLACID
State	:	NY
Zip	:	12946-1140
Country	:	US
Telephone Number	:	518-523-2344
Fax Number	:	518-523-8882

Provider Business Practice Location Address
First Line	:	1996 SARANAC AVE
Second Line	:	STE. 2
City	:	LAKE PLACID
State	:	NY
Zip	:	12946-1140
Country	:	US
Telephone Number	:	518-523-2344
Fax Number	:	518-523-8882

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

Provider Enumeration Date	:	04/10/2008
Last Update Date	:	04/10/2008

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Directions to “ ANN MARTIN KRAUS L.AC.” Practice Location

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