Provider Demographics
NPI:1720452238
Name:MACFARLANE, ANDREW (LAC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:MACFARLANE
Suffix:
Gender:M
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 1:6049 BUNKERHILL ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1155
Mailing Address - Country:US
Mailing Address - Phone:914-980-2940
Mailing Address - Fax:
Practice Address - Street 1:5001 BAUM BLVD
Practice Address - Street 2:SUITE 405
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1853
Practice Address - Country:US
Practice Address - Phone:914-980-2940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-20
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001006171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist