Provider Demographics
NPI:1043413222
Name:MIN, XIONG (LAC)
Entity Type:Individual
Prefix:
First Name:XIONG
Middle Name:
Last Name:MIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:MIN
Other - Middle Name:
Other - Last Name:XIONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:60 N WEST END AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3238
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:60 N WEST END AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3238
Practice Address - Country:US
Practice Address - Phone:717-481-8707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000692171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist