Provider Demographics
NPI:1134302953
Name:CHOU, LIN LIU (LAC)
Entity Type:Individual
Prefix:DR
First Name:LIN
Middle Name:LIU
Last Name:CHOU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:129 S 8TH AVE
Mailing Address - Street 2:# E
Mailing Address - City:LA PUENTE
Mailing Address - State:CA
Mailing Address - Zip Code:91746-3250
Mailing Address - Country:US
Mailing Address - Phone:626-324-7076
Mailing Address - Fax:909-396-6168
Practice Address - Street 1:129 S 8TH AVE
Practice Address - Street 2:# E
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91746-3250
Practice Address - Country:US
Practice Address - Phone:626-324-7076
Practice Address - Fax:909-396-6168
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9999171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist