MEDICARE: MS. TSUI FEN LO 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
1	171100000X	Acupuncturist	AC15725	CA

General Provider Information

NPI Number	:	1992272181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TSUI FEN LO LAC

Provider Business Mailing Address
First Line	:	1515 SCOTT ST # 2
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3511
Country	:	US
Telephone Number	:	415-771-8050
Fax Number	:	415-771-8052

Provider Business Practice Location Address
First Line	:	1515 SCOTT ST # 2
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3511
Country	:	US
Telephone Number	:	415-771-8050
Fax Number	:	415-771-8052

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

Provider Enumeration Date	:	10/25/2018
Last Update Date	:	10/25/2018

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