Provider Demographics
NPI:1992186175
Name:BARON, JULIE MARIE (LAC, LMT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:BARON
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1290 E EDISON ST
Mailing Address - Street 2:GUESTHOUSE
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-3602
Mailing Address - Country:US
Mailing Address - Phone:520-256-9445
Mailing Address - Fax:
Practice Address - Street 1:2571 N 1ST AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2910
Practice Address - Country:US
Practice Address - Phone:520-256-9445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-14
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0986171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist