Provider Demographics
NPI:1780742411
Name:VEAR, LINDA JEAN (LAC)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JEAN
Last Name:VEAR
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 N M ST
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-6618
Mailing Address - Country:US
Mailing Address - Phone:805-737-9998
Mailing Address - Fax:
Practice Address - Street 1:205 N H ST
Practice Address - Street 2:106
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-6026
Practice Address - Country:US
Practice Address - Phone:805-737-4484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7984171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist