Provider Demographics
NPI:1063560266
Name:VOIGT, LINDA DOROTHEA (LAC)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:DOROTHEA
Last Name:VOIGT
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:MUDITA
Other - Middle Name:
Other - Last Name:VOIGT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:110 S PARK WAY
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-2202
Mailing Address - Country:US
Mailing Address - Phone:831-426-6608
Mailing Address - Fax:
Practice Address - Street 1:110 S PARK WAY
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-2202
Practice Address - Country:US
Practice Address - Phone:831-426-6608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 4910171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist