MEDICARE: JACQUELINE SUSAN HARTE 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	0166	AZ

General Provider Information

NPI Number	:	1831392604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE SUSAN HARTE L.AC

Provider Business Mailing Address
First Line	:	1916 W WOODLAND LAKE RD
Second Line	:
City	:	LAKESIDE
State	:	AZ
Zip	:	85929-6470
Country	:	US
Telephone Number	:	928-367-2551
Fax Number	:

Provider Business Practice Location Address
First Line	:	1916 W WOODLAND LAKE RD
Second Line	:
City	:	LAKESIDE
State	:	AZ
Zip	:	85929-6470
Country	:	US
Telephone Number	:	928-367-2551
Fax Number	:

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

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1548372089 — YURI TALALAEV MD
Practice Location Address:

4672 MAVERICK LN STE 1A
LAKESIDE, AZ
85929-5434

Practice Phone: 928-288-0123
Practice Fax: 877-682-6132

1841151883 — COMPREHENSIVE MEDICAL CARE WM LLC
Practice Location Address:

4672 MAVERICK LN STE 1A
LAKESIDE, AZ
85929-5434

Practice Phone: 520-404-9023
Practice Fax:

1568465995 — MRS. BOBETTE S MARTIN M.A.,CCC-A
Practice Location Address:

5658 HIGHWAY 260 , STE 4
LAKESIDE, AZ
85929-5189

Practice Phone: 928-537-7373
Practice Fax: 928-537-7377

1780685685 — ARUN D SHERMA MD
Practice Location Address:

316 W WHITE MOUNTAIN BLVD , STE B
LAKESIDE, AZ
85929-7015

Practice Phone: 928-367-9958
Practice Fax: 928-367-9960

1548252109 — KENT W COX M.D.
Practice Location Address:

5448 WHITE MOUNTAIN BLVD , SUITE 140
LAKESIDE, AZ
85929-5739

Practice Phone: 928-532-0072
Practice Fax: 928-532-0078

1033106497 — DR. SCOTT MILTON JENSEN M.D.
Practice Location Address:

6682 LOWER RIDGE DR
LAKESIDE, AZ
85929-5064

Practice Phone: 928-224-4270
Practice Fax: 928-212-9017

Directions to “ JACQUELINE SUSAN HARTE L.AC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.