Healthcare Provider Details

I. General information

NPI: 1144539206
Provider Name (Legal Business Name): YANMING HUANG LAC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2010
Last Update Date: 10/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 RICHMOND RD
LYNDHURST OH
44124-3719
US

IV. Provider business mailing address

1950 RICHMOND RD
LYNDHURST OH
44124-3719
US

V. Phone/Fax

Practice location:
  • Phone: 216-448-8602
  • Fax: 216-448-8615
Mailing address:
  • Phone: 216-448-8602
  • Fax: 216-448-8615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number100855
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: