Provider Demographics
NPI:1154831246
Name:MCINTYRE, MICHELE LYNN (DACM, LAC, MSTOM)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:LYNN
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:DACM, LAC, MSTOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8975 LAWRENCE WELK DR SPC 323
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-6420
Mailing Address - Country:US
Mailing Address - Phone:619-307-2631
Mailing Address - Fax:760-888-2056
Practice Address - Street 1:8975 LAWRENCE WELK DR SPC 323
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-6420
Practice Address - Country:US
Practice Address - Phone:619-307-2631
Practice Address - Fax:760-888-2056
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17772171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist