Provider Demographics
NPI:1275758575
Name:LU, WEI (LAC)
Entity Type:Individual
Prefix:MR
First Name:WEI
Middle Name:
Last Name:LU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:790 SAN RAMON VALLEY BLVD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-4095
Mailing Address - Country:US
Mailing Address - Phone:925-855-1885
Mailing Address - Fax:925-855-1885
Practice Address - Street 1:790 SAN RAMON VALLEY BLVD
Practice Address - Street 2:SUITE 225
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-4095
Practice Address - Country:US
Practice Address - Phone:925-855-1885
Practice Address - Fax:925-855-1885
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6143171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist