Provider Demographics
NPI:1811194400
Name:LIGANI, AMY L (LAC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:LIGANI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 LA VETA AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2014
Mailing Address - Country:US
Mailing Address - Phone:619-788-8041
Mailing Address - Fax:760-652-1119
Practice Address - Street 1:451 LA VETA AVE
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2014
Practice Address - Country:US
Practice Address - Phone:619-788-8041
Practice Address - Fax:760-652-1119
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA11507171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist