MEDICARE: MS. DAN LI PH.D., 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	AC500272	DC
2	171100000X	Acupuncturist	U02403	MD
3	171100000X	Acupuncturist	0121000911	VA

General Provider Information

NPI Number	:	1922568062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAN LI PH.D., L.AC.

Provider Business Mailing Address
First Line	:	6434 MAPLEWOOD DR
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-1230
Country	:	US
Telephone Number	:	240-821-2744
Fax Number	:

Provider Business Practice Location Address
First Line	:	4604 PINECREST OFFICE PARK DR.
Second Line	:	#G
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2231
Country	:	US
Telephone Number	:	571-478-9977
Fax Number	:

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

Provider Enumeration Date	:	03/24/2019
Last Update Date	:	01/09/2025

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