Laurie Dadourian, L.AC. DIPL. AC.
Individual provider Active NPI Acupuncturist · Haines, AK
NPI 1720200280 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720200280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 23 (AK)
- Practice address
- 210 Main St.
Haines, AK 99827 - Phone
- (907) 766-3335
- NPI assigned
- May 3, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23 | AK | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 23 | AK | Yes |
Addresses
Primary practice location
210 Main St.
Haines, AK 99827
Mailing address
PO Box 288
Haines, AK 99827-0288
Phone (907) 766-3335
Other providers in Haines, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.