MS. KARIN IRENE LIEDTKE L.AC. NPI 1972678514

NPI Information

NPI: 1972678514
Provider Name: MS. KARIN IRENE LIEDTKE, L.AC.
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
3559 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
Phone: (707) 571-3936
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MS. Karin Irene Liedtke, L.AC. is an acupuncturist in Santa Rosa, 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. MS. Karin Irene Liedtke, L.AC. NPI is 1972678514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3559 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403-763
Phone: (707) 571-3936
Fax: (707) 571-3298

The enumeration date for this NPI number is 11/21/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		AC 2629	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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