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Bodanielle Park, L.AC, PHDOM
NPI 1013287150 · Acupuncturist · Lawrenceville, GA
Bodanielle Park, L.AC, PHDOM is a Acupuncturist provider in Lawrenceville, GA (NPI 1013287150).
Provider details
- NPI number
- 1013287150
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- L.AC, PHDOM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 355 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
333 Swanson Dr Ste 102
Lawrenceville, GA 30043-8537
Phone: (678) 878-3069
Fax: (678) 878-4455
Street-level locationGet directions
Mailing address
Po Box 490186
Lawrenceville, GA 30049-0004
Additional practice locations (1)
- 3400 Mcclure Bridge Rd Ste C304Duluth, GA 30096-8706Phone: (678) 878-3069Fax: (678) 878-4455
Registry dates
- Enumerated
- 2012-01-06
- Last updated
- 2021-02-17
- Certified
- 2021-02-17
Frequently asked questions
- What is Bodanielle Park's NPI number?
- Bodanielle Park's National Provider Identifier (NPI) is 1013287150, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bodanielle Park's specialty?
- Bodanielle Park is listed in the NPPES registry with a primary specialty of Acupuncturist (Other Service Providers).
- Where is Bodanielle Park located?
- Bodanielle Park's practice location on file with NPPES is 333 Swanson Dr Ste 102, Lawrenceville, GA 30043-8537.
- What is Bodanielle Park's phone number?
- The practice phone number listed in the NPPES registry for Bodanielle Park is (678) 878-3069.
- Is Bodanielle Park's NPI active?
- Yes — Bodanielle Park's NPI (1013287150) is active in the NPPES registry as of the last update on 2021-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.