MEDICARE: JULIE MARIE BARON L.AC., LMT

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	0986	AZ

General Provider Information

NPI Number	:	1992186175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MARIE BARON L.AC., LMT

Provider Business Mailing Address
First Line	:	1290 E EDISON ST
Second Line	:	GUESTHOUSE
City	:	TUCSON
State	:	AZ
Zip	:	85719-3602
Country	:	US
Telephone Number	:	520-256-9445
Fax Number	:

Provider Business Practice Location Address
First Line	:	2571 N 1ST AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2910
Country	:	US
Telephone Number	:	520-256-9445
Fax Number	:

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

Provider Enumeration Date	:	06/14/2015
Last Update Date	:	08/18/2015

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