East West Integrative Health Clinic, Llc

NPI 1053617209 - Naturopath - 175F00000X

NPI Details
NPI 1053617209
Enumeration Date 02/07/2011
Last Updated 02/07/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LISA D LISA
Position OWNER
Phone (203) 777-7911
Fax (203) 777-7918
Practice Location
396 ORANGE ST REAR BUILDING
NEW HAVEN CT, 06511-6443, US
Phone (203) 777-7911
Fax (203) 777-7918
Business Location
396 ORANGE ST REAR BUILDING
NEW HAVEN CT, 06511-6443, US
Phone (203) 777-7911
Fax (203) 777-7918
Toxanomy
Taxonomy Code 175F00000X
License State Oregon
License Number 1642
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According to our database, East West Integrative Health Clinic, Llc NPI is 1053617209, taxonomy code is 175F00000X and license number is 1642, license state is located at Oregon. East West Integrative Health Clinic, Llc physically located at 396 Orange St Rear Building, New Haven CT, 06511-6443. NPI Number 1033115704 has the healthcare provider type.

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1053617209 NPI number is provided on an as is basis without warranty of any kind. 1053617209 is maintained by the National Plan & Provider Enumeration System. The contents of East West Integrative Health Clinic, Llc are for informational purposes only.