Provider Demographics
NPI:1255776746
Name:COMMUNITY ACUPUNCTURE OF TOWSON
Entity type:Organization
Organization Name:COMMUNITY ACUPUNCTURE OF TOWSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:LOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:443-275-2050
Mailing Address - Street 1:707 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-7802
Mailing Address - Country:US
Mailing Address - Phone:410-868-5238
Mailing Address - Fax:
Practice Address - Street 1:31 ALLEGHENY AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-3900
Practice Address - Country:US
Practice Address - Phone:443-275-2050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty