Provider Demographics
NPI:1265561955
Name:BARNETT, NANCY (LAC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 MALAGA COVE PLZ
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PALOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-6811
Mailing Address - Country:US
Mailing Address - Phone:310-791-2624
Mailing Address - Fax:
Practice Address - Street 1:36 MALAGA COVE PLZ
Practice Address - Street 2:SUITE 203
Practice Address - City:PALOS VERDES ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-6811
Practice Address - Country:US
Practice Address - Phone:310-791-2624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3735171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist