Provider Demographics
NPI:1235468547
Name:LING, YAN
Entity Type:Individual
Prefix:
First Name:YAN
Middle Name:
Last Name:LING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:566 AUBURN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-1713
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:271 GREAT RD
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-4772
Practice Address - Country:US
Practice Address - Phone:781-718-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA204325171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist