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ROSS LAKE ROSS LAKE NPI 1639247034


NPI Information

NPI: 1639247034
Provider Name: ROSS LAKE, ROSS LAKE
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
236 S HUMBOLDT ST
WILLITS, CA
ZIP 95490
Phone: (707) 459-2488
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Ross Lake, ROSS LAKE is an acupuncturist in Willits, CA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. Ross Lake, ROSS LAKE NPI is 1639247034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

236 S HUMBOLDT ST
WILLITS, CA
ZIP 95490-514
Phone: (707) 459-2488
Fax: (707) 459-2228

The enumeration date for this NPI number is 12/1/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturistAC2909CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.