Provider Demographics
NPI:1083191290
Name:LU, XIUFEN (LMP)
Entity Type:Individual
Prefix:MRS
First Name:XIUFEN
Middle Name:
Last Name:LU
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4214 166TH PL SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-9028
Mailing Address - Country:US
Mailing Address - Phone:206-356-3471
Mailing Address - Fax:
Practice Address - Street 1:18421 HIGHWAY 99 STE G
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-4457
Practice Address - Country:US
Practice Address - Phone:425-582-9951
Practice Address - Fax:425-582-9954
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60810098225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist