MEDICARE: KAREN MARIE BATTLE DOM, 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
1	171100000X	Acupuncturist	AP 2557	FL
2	171100000X	Acupuncturist	AK1102	PA

General Provider Information

NPI Number	:	1891029088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN MARIE BATTLE DOM, LAC

Provider Business Mailing Address
First Line	:	300 MOUNT LEBANON BLVD STE 2200
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-1512
Country	:	US
Telephone Number	:	412-884-8990
Fax Number	:	412-884-8990

Provider Business Practice Location Address
First Line	:	300 MOUNT LEBANON BLVD STE 2200
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15234
Country	:	US
Telephone Number	:	412-884-8990
Fax Number	:	412-884-8989

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

Provider Enumeration Date	:	09/22/2009
Last Update Date	:	08/08/2018

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