MEDICARE: SHEEN LU

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	AC19805	CA

General Provider Information

NPI Number	:	1609690478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEEN LU

Provider Business Mailing Address
First Line	:	1030 E GREEN ST STE 104
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-2438
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 E GREEN ST STE 104
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-2438
Country	:	US
Telephone Number	:	626-808-1624
Fax Number	:

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

Provider Enumeration Date	:	11/08/2024
Last Update Date	:	11/08/2024

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Directions to “ SHEEN LU ” Practice Location

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