Provider Demographics
NPI:1366656233
Name:FU, MARLENE F (LAC CH PHD)
Entity Type:Individual
Prefix:DR
First Name:MARLENE
Middle Name:F
Last Name:FU
Suffix:
Gender:F
Credentials:LAC CH PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1825 116TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3021
Mailing Address - Country:US
Mailing Address - Phone:425-453-3169
Mailing Address - Fax:425-453-3169
Practice Address - Street 1:1825 116TH AVE NE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3021
Practice Address - Country:US
Practice Address - Phone:425-453-3169
Practice Address - Fax:425-453-3169
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000171171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist