Healthcare Provider Details

I. General information

NPI: 1740430859
Provider Name (Legal Business Name): LAWRENCE HSU L. AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: LARRY HSU L. AC.

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 09/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2027 19TH AVE S
SEATTLE WA
98144-4407
US

IV. Provider business mailing address

PO BOX 94482
SEATTLE WA
98124-6782
US

V. Phone/Fax

Practice location:
  • Phone: 206-368-9120
  • Fax: 866-298-7689
Mailing address:
  • Phone: 206-459-6505
  • Fax: 866-298-7689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC0748
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: