LORENZO TIEN PHAN

ORMOND BEACH, FL
NPI1174697643
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: TX  AC00803)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
-- LORENZO TIEN PHAN L.Ac
725 W GRANADA BLVD UNIT 17
ORMOND BEACH, FL 32174-5107
Phone number: 386-255-6953
Mailing Address
-- LORENZO TIEN PHAN L.Ac
946 15TH ST APT 202
HOLLY HILL, FL 32117-2076
Phone number: 386-212-9131
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