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

Elyse Provencher, LAC, MAC

Individual provider Acupuncturist · NPI 1568673192

Elyse Provencher, LAC, MAC is an Acupuncturist in Annapolis, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2007
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

2009 Tidewater Colony Way Ste B2
Annapolis, MD 21401-2127
Phone: (410) 573-1938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence U01477 (MD)

Record details

NPI number1568673192
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC , MAC
Sole proprietorYes
NPI enumeratedMay 25, 2007
Last updated in NPPESJuly 8, 2007
Mailing address68 Harbour Heights Dr, Annapolis, MD 21401-2141

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