Provider Demographics
NPI:1023423662
Name:SMILING DRAGON ACUPUNCTURE, LLC
Entity type:Organization
Organization Name:SMILING DRAGON ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARIANNE
Authorized Official - Middle Name:CECILE-INCHAUSTI
Authorized Official - Last Name:LYON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:954-604-8335
Mailing Address - Street 1:13274 ROYALE SABAL CT
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-1370
Mailing Address - Country:US
Mailing Address - Phone:954-604-8335
Mailing Address - Fax:
Practice Address - Street 1:321 NE 2ND AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-3801
Practice Address - Country:US
Practice Address - Phone:561-243-3779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 3327171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty