Provider Demographics
NPI:1366565780
Name:ADAMS, ANNE STROZIER (LAC, MAC)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:STROZIER
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LAC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3591 BRUSH ROAD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24901
Mailing Address - Country:US
Mailing Address - Phone:304-645-3275
Mailing Address - Fax:304-645-3275
Practice Address - Street 1:3591 BRUSH ROAD
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901
Practice Address - Country:US
Practice Address - Phone:304-645-3275
Practice Address - Fax:304-645-3275
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV96117171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist