Provider Demographics
NPI:1942766563
Name:LEAH K. RICHARD ACUPUNCTURE
Entity type:Organization
Organization Name:LEAH K. RICHARD ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:415-517-6161
Mailing Address - Street 1:969 DANA CIR
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-3781
Mailing Address - Country:US
Mailing Address - Phone:415-517-6161
Mailing Address - Fax:
Practice Address - Street 1:1020 SERPENTINE LN STE 115
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-4758
Practice Address - Country:US
Practice Address - Phone:925-293-2525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty