Kristin Lakoma
Individual provider Active NPI Acupuncturist · Winters, CA
NPI 1710283239 · NPPES record last updated Jan 31, 2011
Key facts
- NPI
- 1710283239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 13779 (CA)
- Practice address
- 101 E Grant Ave Ste B
Winters, CA 95694-1761 - Phone
- (530) 795-3429
- NPI assigned
- Jan 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13779 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Life Organization, Inc. | Past | Accepting new patients | |
| Health and Life Organization, Inc. | Acupuncturist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 13779 | CA | Yes |
Addresses
Primary practice location
101 E Grant Ave Ste B
Winters, CA 95694-1761
Mailing address
101 E Grant Ave Ste B
Winters, CA 95694-1761
Phone (530) 795-3429
Other providers in Winters, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.