Provider Demographics
NPI:1285211862
Name:TENG, YUN (LAC)
Entity Type:Individual
Prefix:
First Name:YUN
Middle Name:
Last Name:TENG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 CHEEK RD
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-6658
Mailing Address - Country:US
Mailing Address - Phone:803-610-9316
Mailing Address - Fax:
Practice Address - Street 1:1812 LYNDHURST AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5104
Practice Address - Country:US
Practice Address - Phone:704-334-8086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-28
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist