Provider Demographics
NPI:1821327164
Name:MERCIER, DAVID G (LAC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:G
Last Name:MERCIER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7185 FIR ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-4843
Mailing Address - Country:US
Mailing Address - Phone:410-924-3831
Mailing Address - Fax:
Practice Address - Street 1:7185 FIR ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-4843
Practice Address - Country:US
Practice Address - Phone:410-924-3831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU-00127171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist