MEDICARE: YUAN-YUAN HAN LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP2774	FL

General Provider Information

NPI Number	:	1003501529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUAN-YUAN HAN LAC

Provider Business Mailing Address
First Line	:	7100 LAKE ELLENOR DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5721
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 LAKE ELLENOR DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5721
Country	:	US
Telephone Number	:	407-888-8689
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2023
Last Update Date	:	04/11/2023

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Directions to “ YUAN-YUAN HAN LAC” Practice Location

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