Provider Demographics
NPI:1093131567
Name:LC WELLNESS & ACUPUNCTURE
Entity Type:Organization
Organization Name:LC WELLNESS & ACUPUNCTURE
Other - Org Name:SAN ANTONIO WELLNESS & ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER - ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAHLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-760-2448
Mailing Address - Street 1:1723 N LOOP 1604 E
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1669
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1723 N LOOP 1604 E
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1669
Practice Address - Country:US
Practice Address - Phone:210-760-2448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-08
Last Update Date:2014-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01475261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center