Provider Demographics
NPI:1699959957
Name:MORIMOTO, LORINDA B (LIC AC)
Entity type:Individual
Prefix:
First Name:LORINDA
Middle Name:B
Last Name:MORIMOTO
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:370 HARWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-1649
Mailing Address - Country:US
Mailing Address - Phone:978-939-8704
Mailing Address - Fax:978-724-0034
Practice Address - Street 1:30 HARDWICK RD.
Practice Address - Street 2:
Practice Address - City:PETERSHAM
Practice Address - State:MA
Practice Address - Zip Code:01366
Practice Address - Country:US
Practice Address - Phone:978-939-8704
Practice Address - Fax:978-724-0034
Is Sole Proprietor?:No
Enumeration Date:2007-12-21
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA681171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist