Provider Demographics
NPI:1306367404
Name:ZHAO, LINA
Entity Type:Individual
Prefix:
First Name:LINA
Middle Name:
Last Name:ZHAO
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 1:3800 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3527
Mailing Address - Country:US
Mailing Address - Phone:614-267-3800
Mailing Address - Fax:614-947-0358
Practice Address - Street 1:3800 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3527
Practice Address - Country:US
Practice Address - Phone:614-267-3800
Practice Address - Fax:614-947-0358
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000334171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH65.000334OtherSTATE OF OHIO MEDICAL BOARD