Provider Demographics
NPI:1437771383
Name:DURHAM ACUPUNCTURE ASSOCIATES
Entity Type:Organization
Organization Name:DURHAM ACUPUNCTURE ASSOCIATES
Other - Org Name:DURHAM ACUPUNCTURE ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CORY
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:919-750-0027
Mailing Address - Street 1:1415 W NC HIGHWAY 54 STE 300-126
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5577
Mailing Address - Country:US
Mailing Address - Phone:919-750-0027
Mailing Address - Fax:910-621-0003
Practice Address - Street 1:1415 W NC HIGHWAY 54 STE 300-126
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5577
Practice Address - Country:US
Practice Address - Phone:919-750-0027
Practice Address - Fax:910-621-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1972543528OtherPERSONAL NPI