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Contact Information

SUSANNAH LEE LAC, INC
2840 PARK AVE
SUITE A
SOQUEL, CA95073
 Phone: 831-515-8699
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for SUSANNAH LEE LAC, INC

NPI Number 1316319890
LBN Legal business name SUSANNAH LEE LAC, INC
Authorized official SUSANNAH LEE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2015
Last updated 10/23/2015 - About 11 years ago
Identifiers
CA License # AC 15007
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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