Provider Demographics
NPI:1699042515
Name:SCHOON, ELIZABETH MALCOLM (LAC,MAC, LMT)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:MALCOLM
Last Name:SCHOON
Suffix:
Gender:F
Credentials:LAC,MAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 CROSSTREE DR
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-1249
Mailing Address - Country:US
Mailing Address - Phone:843-422-2592
Mailing Address - Fax:843-715-8081
Practice Address - Street 1:1032 WILLIAM HILTON PKWY
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29928-3372
Practice Address - Country:US
Practice Address - Phone:843-422-2592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMAP.206171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist