Provider Demographics
NPI:1679998991
Name:DRACHER, PETER (LAC; LMT)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:DRACHER
Suffix:
Gender:M
Credentials:LAC; LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 N LURING DR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6829
Mailing Address - Country:US
Mailing Address - Phone:917-572-3742
Mailing Address - Fax:
Practice Address - Street 1:177 N LURING DR
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6829
Practice Address - Country:US
Practice Address - Phone:917-572-3742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA265160171100000X
NY5238171100000X
CA17566171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist