Provider Demographics
NPI:1558595132
Name:NEER, LONNIE JAMES (LAC)
Entity Type:Individual
Prefix:
First Name:LONNIE
Middle Name:JAMES
Last Name:NEER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:MR
Other - First Name:LONNIE
Other - Middle Name:JAMES
Other - Last Name:NEER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:1558 SW NANCY WAY STE 104
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3216
Mailing Address - Country:US
Mailing Address - Phone:541-383-3065
Mailing Address - Fax:
Practice Address - Street 1:1558 SW NANCY WAY STE 104
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3216
Practice Address - Country:US
Practice Address - Phone:541-383-3065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00574171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist