Provider Demographics
NPI:1124672605
Name:MCFEE, MARCIA LOU (LAC)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:LOU
Last Name:MCFEE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:LOU
Other - Last Name:GAISER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 493
Mailing Address - Street 2:
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93464-0493
Mailing Address - Country:US
Mailing Address - Phone:805-886-9432
Mailing Address - Fax:
Practice Address - Street 1:2028 VILLAGE LANE
Practice Address - Street 2:STE. 203
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463
Practice Address - Country:US
Practice Address - Phone:805-688-9674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6203171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist