Provider Demographics
NPI:1275759474
Name:LI, YUELING (LAC)
Entity Type:Individual
Prefix:
First Name:YUELING
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
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Mailing Address - Street 1:7204 TIMBERLAKE RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2337
Mailing Address - Country:US
Mailing Address - Phone:434-582-1998
Mailing Address - Fax:434-582-1992
Practice Address - Street 1:7204 TIMBERLAKE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502
Practice Address - Country:US
Practice Address - Phone:434-582-1998
Practice Address - Fax:434-582-1992
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000511171100000X
NY25 001579171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist