Provider Demographics
NPI:1801764063
Name:SUNFLOWER BLOOM ACUPUNCTURE AND HEALING ARTS LLC
Entity type:Organization
Organization Name:SUNFLOWER BLOOM ACUPUNCTURE AND HEALING ARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF ACUPUNCTURE AND CHINESE M
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:LANEY
Authorized Official - Suffix:
Authorized Official - Credentials:DACM
Authorized Official - Phone:612-405-3775
Mailing Address - Street 1:101 W BURNSVILLE PKWY STE 212
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-4401
Mailing Address - Country:US
Mailing Address - Phone:612-405-3775
Mailing Address - Fax:612-682-2356
Practice Address - Street 1:101 W BURNSVILLE PKWY STE 212
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4401
Practice Address - Country:US
Practice Address - Phone:612-405-3775
Practice Address - Fax:612-682-2356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty