Provider Demographics
NPI:1902272404
Name:HEALTH FOR LIFE CLINIC, INC.
Entity Type:Organization
Organization Name:HEALTH FOR LIFE CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC DOCTOR, ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:ND, LAC
Authorized Official - Phone:717-669-1050
Mailing Address - Street 1:112 N CORNELL AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-4502
Mailing Address - Country:US
Mailing Address - Phone:717-669-1050
Mailing Address - Fax:717-397-4543
Practice Address - Street 1:112 N CORNELL AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4502
Practice Address - Country:US
Practice Address - Phone:717-669-1050
Practice Address - Fax:717-397-4543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001000171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty