Provider Demographics
NPI:1083778922
Name:LU, ZHAOXUE (LAC)
Entity Type:Individual
Prefix:MR
First Name:ZHAOXUE
Middle Name:
Last Name:LU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1125 NW 9TH AVE APT 107B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-2865
Mailing Address - Country:US
Mailing Address - Phone:503-701-4989
Mailing Address - Fax:503-257-6472
Practice Address - Street 1:1125 NW 9TH AVENUE, SUITE 107B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2766
Practice Address - Country:US
Practice Address - Phone:503-227-9898
Practice Address - Fax:503-227-5590
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00794171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist