Provider Demographics
NPI:1316582356
Name:DUAN, LEI
Entity Type:Individual
Prefix:MS
First Name:LEI
Middle Name:
Last Name:DUAN
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 1:227 E KING ST FL 2
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-2517
Mailing Address - Country:US
Mailing Address - Phone:484-202-0117
Mailing Address - Fax:
Practice Address - Street 1:227 E KING ST FL 2
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-2517
Practice Address - Country:US
Practice Address - Phone:484-202-0117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001242171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist