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NPI Code Detail

MEDICARE: YUN GUO WANG L.AC

MEDICARE:   YUN GUO WANG  L.AC
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
1171100000XAcupuncturistCA0000188WA

General Provider Information

NPI Number : 1134347040
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUN GUO WANG L.AC
Provider Business Mailing Address
First Line : 11046 LAKE CITY WAY NE
Second Line :
City : SEATTLE
State : WA
Zip : 98125-6717
Country : US
Telephone Number : 206-367-9180
Fax Number : 206-367-9180
Provider Business Practice Location Address
First Line : 11046 LAKE CITY WAY NE
Second Line :
City : SEATTLE
State : WA
Zip : 98125-6717
Country : US
Telephone Number : 206-367-9180
Fax Number : 206-367-9180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 07/08/2007

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Directions to “ YUN GUO WANG L.AC” Practice Location

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