MEDICARE: LIAN XUE L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP 3179	FL
2	171100000X	Acupuncturist	AC187595	OR

General Provider Information

NPI Number	:	1881051324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIAN XUE L.AC.

Provider Business Mailing Address
First Line	:	4220 SHASTA WAY
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-4842
Country	:	US
Telephone Number	:	541-884-1952
Fax Number	:	541-884-6085

Provider Business Practice Location Address
First Line	:	4220 SHASTA WAY
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-4842
Country	:	US
Telephone Number	:	541-884-1952
Fax Number	:	541-884-6085

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2016
Last Update Date	:	12/22/2020

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Directions to “ LIAN XUE L.AC.” Practice Location

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