Lisa Llewellyn Severino, L.AC., M.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U01720 Issued in MD

Practice address

1446 W Patrick St
Unit 14
Frederick, MD 21702-3200

Phone

(301) 606-7657

NPI assigned

Jan 14, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1134424690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12442 STOTTLEMYER RD",
            "city": "MYERSVILLE",
            "state": "MD",
            "postal_code": "217739600",
            "telephone_number": "301-606-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 W PATRICK ST",
            "address_2": "UNIT 14",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023200",
            "telephone_number": "301-606-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERINO",
        "first_name": "LISA",
        "middle_name": "LLEWELLYN",
        "credential": "L.AC., M.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carlye Beth Seymour, PA
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• Michelle Rae Shaffer, MPA-C
• Sue A Shaffer, LCSW-C

• Acupuncturist in Frederick, MD
• Providers in Frederick, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.