NPI 1114449741

Lise Takashina, LAC

Practitioner Acupuncturist Coeur D Alene, ID

Practice location

Address: 302 N 5th St, Coeur D Alene, ID 83814-2814
Phone: (831) 332-0587
Fax: (831) 332-0587
Mailing address: PO Box 1724, Coeur D Alene, ID 83816-1724

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence ACU-336 (ID)

Other Acupuncturist providers in Idaho →

Registry record

NPI: 1114449741
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2017
Record last updated: 16 Jun 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.