Provider Demographics
NPI:1083845242
Name:DUGGAN, CATHERINE JEAN (LAC)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:JEAN
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1110 S FRONT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-5514
Mailing Address - Country:US
Mailing Address - Phone:215-271-7597
Mailing Address - Fax:
Practice Address - Street 1:328 W GODFREY AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-1410
Practice Address - Country:US
Practice Address - Phone:215-276-1122
Practice Address - Fax:215-549-4007
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000670171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist