Provider Demographics
NPI:1396801965
Name:SHULMAN, MARGARET LOUISE (LAC)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:LOUISE
Last Name:SHULMAN
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 1:777 GLEN ANNIE RD
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-1425
Mailing Address - Country:US
Mailing Address - Phone:805-637-8797
Mailing Address - Fax:805-961-4642
Practice Address - Street 1:777 GLEN ANNIE RD
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-1425
Practice Address - Country:US
Practice Address - Phone:805-637-8797
Practice Address - Fax:805-961-4642
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11258171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist