1639495302 NPI number — MRS. LIANA VICTORIA AVETIAN L.AC

Table of content: MRS. LIANA VICTORIA AVETIAN L.AC (NPI 1639495302)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639495302 NPI number — MRS. LIANA VICTORIA AVETIAN L.AC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AVETIAN
Provider First Name:
LIANA
Provider Middle Name:
VICTORIA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
L.AC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SARKISOVA
Provider Other First Name:
LIANA
Provider Other Middle Name:
VICTORIA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
L.AC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1639495302
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/20/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
97 WINTER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELMONT
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02478-1116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
339-225-1234
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
575 BOYLSTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02116-3607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-778-7344
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/20/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  237924 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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