Male or Other

Lorenzo T. Phan L.AC

Acupuncturist in Ormond Beach, FL(View on Map)

Full Name

Lorenzo Tien Phan L.AC

NPI Number

1174697643

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/17/2006

Specialties

(Taxonomies)

Code

171100000X

Primary Taxonomy

Yes

Licenses

State

Texas

License Number

AC00803

Contact
Information

Purpose

Mailing
Location

Address

946 15TH ST APT 202
725 W GRANADA BLVD UNIT 17

City

Holly Hill
Ormond Beach

State

FL
FL

Postal Code

32117-2076
32174-5107

Country

US
US

Telephone Number

(386) 212-9131
(386) 255-6953

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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