Provider Demographics
NPI:1285033498
Name:HE, PING (LAC)
Entity Type:Individual
Prefix:
First Name:PING
Middle Name:
Last Name:HE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 E NC HIGHWAY 54
Mailing Address - Street 2:SUITE 620
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-2293
Mailing Address - Country:US
Mailing Address - Phone:919-491-8983
Mailing Address - Fax:
Practice Address - Street 1:1920 E NC HIGHWAY 54
Practice Address - Street 2:SUITE 620
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2293
Practice Address - Country:US
Practice Address - Phone:919-491-8983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC608171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist