Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bodanielle S Park, LAC, PHDOM

Individual provider Acupuncturist · NPI 1013287150

Dr. Bodanielle S Park, LAC, PHDOM is an Acupuncturist in Lawrenceville, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2012
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

See every abbreviation used in this directory →

Practice location Address checks out

333 Swanson Dr Ste 102
Lawrenceville, GA 30043-8537
Phone: (678) 878-3069
Fax: (678) 878-4455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3400 McClure Bridge Rd Ste C304, Duluth, GA 30096-8706 — (678) 878-3069

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 355 (GA)

Record details

NPI number1013287150
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC , PHDOM
Sole proprietorYes
NPI enumeratedJanuary 6, 2012
Last updated in NPPESFebruary 17, 2021
Certification dateFebruary 17, 2021

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