Lillian Anne Cooperman, MAC LAC DIPL AC
Individual provider Active NPI Acupuncturist · Balt, MD
NPI 1992871545 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992871545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- U01424 (MD)
- Practice address
- 550 Light St
Harbor Court Hotel Fitness Ctr
Balt, MD 21202 - Phone
- (410) 926-8008
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| U01424 | MD | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U01424 | MD | Yes |
Addresses
Primary practice location
550 Light St
Harbor Court Hotel Fitness Ctr
Balt, MD 21202
Mailing address
4312 Parkside Dr
Baltimore, MD 21206
Phone (410) 926-8008
Other providers in Balt, MD
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.