Provider Demographics
NPI:1205194925
Name:HILL, ARTHUR LEE III (LAC)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:LEE
Last Name:HILL
Suffix:III
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 LINCOLN BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:VENICE
Mailing Address - State:CA
Mailing Address - Zip Code:90291-2826
Mailing Address - Country:US
Mailing Address - Phone:310-399-3200
Mailing Address - Fax:
Practice Address - Street 1:122 LINCOLN BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:VENICE
Practice Address - State:CA
Practice Address - Zip Code:90291-2826
Practice Address - Country:US
Practice Address - Phone:310-399-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10860171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist