Provider Demographics
NPI:1811088396
Name:MARKHAM, ELIZABETH M (LAC, DIPL AC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:MARKHAM
Suffix:
Gender:F
Credentials:LAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4295 GESNER ST STE 3A
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-6649
Mailing Address - Country:US
Mailing Address - Phone:619-838-9097
Mailing Address - Fax:619-275-0945
Practice Address - Street 1:4295 GESNER ST STE 3A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-6649
Practice Address - Country:US
Practice Address - Phone:619-838-9097
Practice Address - Fax:619-275-0945
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA10641171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist