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NPI Code Detail

MEDICARE: ELINOR HSU LAC

MEDICARE: ELINOR HSU 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
1171100000XAcupuncturist1198MN

General Provider Information

NPI Number : 1063560340
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELINOR HSU LAC
Provider Business Mailing Address
First Line : 19 S 1ST ST APT B1202
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55401-1816
Country : US
Telephone Number : 612-385-3628
Fax Number : 651-552-2672
Provider Business Practice Location Address
First Line : 5625 CENEX DR
Second Line :
City : INVER GROVE HEIGHTS
State : MN
Zip : 55077-1724
Country : US
Telephone Number : 612-385-3628
Fax Number : 651-552-2672
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 07/08/2007

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Directions to “ ELINOR HSU LAC” Practice Location

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