Lysa Phan, L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

012100210 Issued in VA

Practice address

751 Rockville Pike Ste 2a
Rockville, MD 20852-1181

Phone

(703) 533-2249

NPI assigned

Mar 10, 2015

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healing Tao Acupuncture Center, LLC

  • Acupuncturist
  • Rockville, MD
  • NPI 1740785104
  NPD Authorized official
• Life Is Simple, LLC

  • Acupuncturist
  • Silver Spring, MD
  • NPI 1629570551
  NPD (past) Authorized official

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1205229689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 ROCKVILLE PIKE STE 2A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521181",
            "telephone_number": "703-533-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 ROCKVILLE PIKE STE 2A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521181",
            "telephone_number": "703-533-2249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5683 Columbia Pike Ste 101",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220412892",
            "country_code": "US",
            "telephone_number": "703-533-2249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "LYSA",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "012100210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Makomborero Pfinayi, PA-C
• Annette M Pham, MD
• Hiep Huy Pham
• Thao Pham
• Jade Phan
• Que CHI Phan
• Tyler Phaneuf
• Sandra E Pharaoh, COTA
• Janaya Pharris
• Skyler Phaup

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.