Provider Demographics
NPI:1245508605
Name:MORGENSTERN, KRISTIN ELIZABETH (LAC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ELIZABETH
Last Name:MORGENSTERN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:43 MORAGA WAY STE 205
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-3051
Mailing Address - Country:US
Mailing Address - Phone:925-254-3148
Mailing Address - Fax:925-254-3148
Practice Address - Street 1:43 MORAGA WAY STE 205
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-3051
Practice Address - Country:US
Practice Address - Phone:925-254-3148
Practice Address - Fax:925-254-3148
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7003171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist