Provider Demographics
NPI:1629382775
Name:ALLERTON, ANDREA HOYOS (LAC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:HOYOS
Last Name:ALLERTON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-3074
Mailing Address - Country:US
Mailing Address - Phone:949-903-0058
Mailing Address - Fax:
Practice Address - Street 1:1215 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-3074
Practice Address - Country:US
Practice Address - Phone:615-955-5035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13599171100000X
TN554171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist