Organization Active NPI

Lake Mills Acupuncture and Wellness

  • Health Service Clinic/Center
  • Lake Mills, WI
National Provider Identifier
1558813840
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
743-55 Issued in WI
Legal business name
LAKE MILLS ACUPUNCTURE AND WELLNESS
Practice address
331 N Main St
Lake Mills, WI 53551-1162
Phone
(920) 239-8585
Fax
(414) 386-7909
NPI assigned
Nov 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Danielle Lucio, MSOM LAC
Title
Licensed Acupuncturist
Phone
(920) 239-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 743-55 WI Primary

Addresses

Primary practice location

331 N Main St
Lake Mills, WI 53551-1162

Mailing address

331 N Main St
Lake Mills, WI 53551-1162
Phone (920) 239-8585

National Provider Directory

National Provider Directory
Tax ID family
Lake Mills Acupuncture and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1558813840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N MAIN ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511162",
            "telephone_number": "920-239-8585",
            "fax_number": "414-386-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N MAIN ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511162",
            "telephone_number": "920-239-8585",
            "fax_number": "414-386-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MILLS ACUPUNCTURE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "LUCIO",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "920-239-8585",
        "authorized_official_credential": "MSOM LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "743-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mills, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.