MEDICARE: MR. YUBIN LU 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
1	171100000X	Acupuncturist	1230	MN

General Provider Information

NPI Number	:	1417115411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. YUBIN LU L.AC

Provider Business Mailing Address
First Line	:	2978 RICE ST
Second Line	:
City	:	LITTLE CANADA
State	:	MN
Zip	:	55113-2230
Country	:	US
Telephone Number	:	612-201-7080
Fax Number	:

Provider Business Practice Location Address
First Line	:	2978 RICE ST
Second Line	:
City	:	LITTLE CANADA
State	:	MN
Zip	:	55113-2230
Country	:	US
Telephone Number	:	612-201-7080
Fax Number	:

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

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	07/21/2022

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