Healthcare Provider Details

I. General information

NPI: 1942773767
Provider Name (Legal Business Name): CAO & LAN ACUPUNCTURE BOTANICAL MEDICINE, L. L. C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2019
Last Update Date: 01/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8034 35TH AVE NE
SEATTLE WA
98115-4815
US

IV. Provider business mailing address

8034 35TH AVE NE
SEATTLE WA
98115-4815
US

V. Phone/Fax

Practice location:
  • Phone: 206-525-1328
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. HAI LAN
Title or Position: CLINIC DIRECTOR/PRACTITIONER
Credential: EAMP
Phone: 206-525-1328