Provider Demographics
NPI:1487171435
Name:BIERWERT, LINDSAY ALISON (L AC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ALISON
Last Name:BIERWERT
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8205 DUNMORE DR APT W
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-4419
Mailing Address - Country:US
Mailing Address - Phone:413-387-5576
Mailing Address - Fax:
Practice Address - Street 1:9325 CENTER LAKE DR STE 150
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-0785
Practice Address - Country:US
Practice Address - Phone:704-494-4250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-29
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAC-947171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist