Provider Demographics
NPI:1487452975
Name:LIFE QI HOLISTIC MEDICINE LLC
Entity type:Organization
Organization Name:LIFE QI HOLISTIC MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DELLORFANO
Authorized Official - Suffix:
Authorized Official - Credentials:LIC ACU
Authorized Official - Phone:781-428-4515
Mailing Address - Street 1:11 NORMANS WAY
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02364-1877
Mailing Address - Country:US
Mailing Address - Phone:978-852-0500
Mailing Address - Fax:
Practice Address - Street 1:150 WOOD RD STE 403
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-2505
Practice Address - Country:US
Practice Address - Phone:781-428-4515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty