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

Dr. Mary Aline Cornelius, LAC, DAOM

Individual provider Acupuncturist · NPI 1629887138

Dr. Mary Aline Cornelius, LAC, DAOM is an Acupuncturist in Lehigh Acres, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024
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.

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Practice location Address checks out

1067 Summa Blvd
Lehigh Acres, FL 33974-5568
Phone: (510) 332-6817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AP4002 (FL)

Record details

NPI number1629887138
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC , DAOM
Sole proprietorYes
NPI enumeratedDecember 31, 2024
Last updated in NPPESDecember 31, 2024
Certification dateDecember 31, 2024

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