Provider Demographics
NPI:1881964468
Name:SIERRA ACUPUNCTURE AND HEALING ARTS
Entity type:Organization
Organization Name:SIERRA ACUPUNCTURE AND HEALING ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMERDIN
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:775-841-3336
Mailing Address - Street 1:512 N DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-4103
Mailing Address - Country:US
Mailing Address - Phone:775-841-3336
Mailing Address - Fax:775-841-3337
Practice Address - Street 1:512 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4103
Practice Address - Country:US
Practice Address - Phone:775-841-3336
Practice Address - Fax:775-841-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1002171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty