NPI 1275657710

Malcolm Lewis, ACUPUNCTURIST

Practitioner Acupuncturist Mount Shasta, CA

Practice location

Address: 101 Old McCloud Rd, Mount Shasta, CA 96067-2796
Phone: (530) 926-5100
Fax: (530) 926-1859

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence AC1037 (CA)

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Registry record

NPI: 1275657710
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2007
Record last updated: 8 Jul 2007

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.