| NPI | 1609045459 |
|---|---|
| Doing Business As | EAGLE RIVER ACUPUNCTURE |
| Entity Type | Organization |
| Authorized Contact | LEIF C. LIDIN-LAMON Owner 907-726-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AK A112) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2011-01-28 |