Provider Demographics
NPI:1043651920
Name:ZHANG, BOXIN (LAC EAMP)
Entity Type:Individual
Prefix:
First Name:BOXIN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:LAC EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:677 WOODLAND SQ LP SE SUITE D3
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503
Mailing Address - Country:US
Mailing Address - Phone:360-890-9313
Mailing Address - Fax:360-352-8868
Practice Address - Street 1:677 WOODLAND SQ LP SE SUITE D3
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-8405
Practice Address - Country:US
Practice Address - Phone:360-890-9313
Practice Address - Fax:360-352-8868
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60348347171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist