MEDICARE: LU LUO

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	0121001238	VA
2	171100000X	Acupuncturist	AC2000070	DC

General Provider Information

NPI Number	:	1407702236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LU LUO

Provider Business Mailing Address
First Line	:	803 N GARFIELD ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-2036
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	803 N GARFIELD ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-2036
Country	:	US
Telephone Number	:	701-306-6126
Fax Number	:

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

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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Directions to “ LU LUO ” Practice Location

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