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NPI Code Detail

MEDICARE: LI YING HE LAC

MEDICARE:   LI YING  HE  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
1171100000XAcupuncturist006630NY

General Provider Information

NPI Number : 1992336671
Entity Type Code : Individual
Provider Name (Legal Business Name) : LI YING HE LAC
Provider Business Mailing Address
First Line : 1356 OVINGTON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-6108
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1356 OVINGTON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-6108
Country : US
Telephone Number : 347-924-6745
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2020
Last Update Date : 01/30/2020

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Directions to “ LI YING HE LAC” Practice Location

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