NPI 1073083622

Mary Louanna Heaven, LAC

Practitioner Acupuncturist Old Greenwich, CT

Practice location

Address: 3 Heusted Dr, Old Greenwich, CT 06870-1918
Phone: (203) 536-3865

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 0696 (CT)

Other Acupuncturist providers in Connecticut →

Registry record

NPI: 1073083622
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Nov 2018
Record last updated: 27 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.