Healthcare Provider Details

I. General information

NPI: 1962426031
Provider Name (Legal Business Name): HAILING ZHANG LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2754 SAWBURY BLVD
COLUMBUS OH
43235-4580
US

IV. Provider business mailing address

2754 SAWBURY BLVD
COLUMBUS OH
43235-4580
US

V. Phone/Fax

Practice location:
  • Phone: 614-800-1909
  • Fax: 614-376-0342
Mailing address:
  • Phone: 614-800-1909
  • Fax: 614-376-0342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number65000097
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: