Active NPI
Leif C. Lidin-Lamon, L.AC.
- Acupuncturist
- Eagle River, AK
National Provider Identifier
1740459585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- A112
- Practice address
- 13135 Old Glenn Hwy
# 100
Eagle River, AK 99577-7562 - Phone
- (907) 306-6897
- NPI assigned
- Feb 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | A112 | AK | Primary |
Addresses
Primary practice location
13135 Old Glenn Hwy
# 100
Eagle River, AK 99577-7562
Mailing address
PO Box 770187
Eagle River, AK 99577-0187
Phone (907) 306-6897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A112 | AK | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1740459585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 770187",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995770187",
"telephone_number": "907-306-6897",
"fax_number": "907-688-3041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13135 OLD GLENN HWY",
"address_2": "# 100",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777562",
"telephone_number": "907-306-6897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIDIN-LAMON",
"first_name": "LEIF",
"middle_name": "C.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-26",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AK",
"license": "A112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.