Provider Demographics
NPI:1245663855
Name:HAYES, ANDREA (LAC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:51 CRITTENDEN STREET NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011
Mailing Address - Country:US
Mailing Address - Phone:202-255-5203
Mailing Address - Fax:
Practice Address - Street 1:2000 P STREET NW
Practice Address - Street 2:SUITE 720
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036
Practice Address - Country:US
Practice Address - Phone:202-255-5203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAC500176171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist