Healthcare Provider Details

I. General information

NPI: 1114831625
Provider Name (Legal Business Name): LEXINGTON 55 ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 E 55TH ST APT 9A
NEW YORK NY
10022-4032
US

IV. Provider business mailing address

141 E 55TH ST APT 9A
NEW YORK NY
10022-4032
US

V. Phone/Fax

Practice location:
  • Phone: 646-244-2592
  • Fax:
Mailing address:
  • Phone: 646-244-2592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL

VIII. Authorized Official

Name: RONG LU
Title or Position: OFFICE MANAGER
Credential: L.AC
Phone: 347-964-3642