| NPI | 1124598727 |
|---|---|
| Former Legal Business Name | LAKE NONA WELLNESS CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | LONNIE HENRY ASCHEBROOK Acupuncturist 901-376-5198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2019-10-27 |