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NPI Code Detail

MEDICARE: MS. LAURA ELLEN CHRISTENSEN L.AC.

MEDICARE:  MS. LAURA ELLEN CHRISTENSEN  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
1171100000XAcupuncturistA-011IA

General Provider Information

NPI Number : 1881625432
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA ELLEN CHRISTENSEN L.AC.
Provider Business Mailing Address
First Line : 1201 WADE ST
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-2516
Country : US
Telephone Number : 319-341-0031
Fax Number :
Provider Business Practice Location Address
First Line : 1201 WADE ST
Second Line : NORTH ENTRANCE
City : IOWA CITY
State : IA
Zip : 52240-2516
Country : US
Telephone Number : 319-341-0031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 07/08/2007

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Directions to “ MS. LAURA ELLEN CHRISTENSEN L.AC.” Practice Location

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