Provider Demographics
NPI:1548488687
Name:SAUNDERS, REID WELCH (LAC)
Entity type:Individual
Prefix:MR
First Name:REID
Middle Name:WELCH
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 384
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22183-0384
Mailing Address - Country:US
Mailing Address - Phone:703-938-9064
Mailing Address - Fax:
Practice Address - Street 1:1753 CY CT
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2361
Practice Address - Country:US
Practice Address - Phone:703-938-9064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000157171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist