Provider Demographics
NPI:1316387293
Name:DAVIES, ANNE F (LAC, DIPL OM)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:F
Last Name:DAVIES
Suffix:
Gender:F
Credentials:LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28345 VIA ALFONSE
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-7060
Mailing Address - Country:US
Mailing Address - Phone:949-407-8728
Mailing Address - Fax:949-407-8740
Practice Address - Street 1:361 FOREST AVE
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2138
Practice Address - Country:US
Practice Address - Phone:949-407-8728
Practice Address - Fax:949-407-8740
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 15400171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist