Provider Demographics
NPI:1598996233
Name:MORRISON, MARCIA LYNN (LAC, MTCM)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:LYNN
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LAC, MTCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 WEBBS MILL RD N
Mailing Address - Street 2:
Mailing Address - City:FLOYD
Mailing Address - State:VA
Mailing Address - Zip Code:24091-3500
Mailing Address - Country:US
Mailing Address - Phone:540-250-2738
Mailing Address - Fax:
Practice Address - Street 1:173 WEBBS MILL RD N
Practice Address - Street 2:
Practice Address - City:FLOYD
Practice Address - State:VA
Practice Address - Zip Code:24091-3500
Practice Address - Country:US
Practice Address - Phone:540-250-2738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000480171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist