Li Liu Lsack, ACUPUNCTURIST

Individual provider Active NPI Acupuncturist · Pebble Beach, CA

NPI 1386905321 · NPPES record last updated Aug 21, 2012

Key facts

NPI
1386905321
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
13717 (CA)
Practice address
3088 Hacienda Dr
Pebble Beach, CA 93953-2806
Phone
(415) 244-0838
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13717 CA Yes

Addresses

Primary practice location

3088 Hacienda Dr
Pebble Beach, CA 93953-2806

Mailing address

3088 Hacienda Dr
Pebble Beach, CA 93953-2806
Phone (415) 244-0838

Other names

  • Li Liu Isack Professional name

Other providers in Pebble Beach, CA

All providers in Pebble Beach, CA · Acupuncturist in California

Sources for this page

Verify at the official NPI Registry.