Most Relevant Information
Provider Data
NPI Number: | 1003066333 |
Provider Name: | CASSANDRA A LIDIN M.AC.,L.AC.,DIPL.AC |
Entity Type: | Individual |
Taxonomy Code: | 171100000X |
Specialty: | Acupuncturist |
License Number: | A120 |
Most Important Dates
Enumeration Date: | 09/23/2008 |
Last Updated: | 03/04/2011 |
Provider Practice Location
700 W. 41ST AVE.,
STE 101
ANCHORAGE
AK
99503
Practice Location Phone/Fax
Phone: | 9077267070 |
Fax: | 9073370493 |
Provider Mailing Location
5432 E. NORTHERN LIGHTS BLVD.
STE. 407
ANCHORAGE
AK
99508
Provider Mailing Phone/Fax
Phone: | 9077267070 |
Fax: | 9073370493 |