Provider Demographics
NPI:1407474646
Name:LIANG, YINGXING (LAC)
Entity Type:Individual
Prefix:
First Name:YINGXING
Middle Name:
Last Name:LIANG
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 1:3149 243RD ST SW
Mailing Address - Street 2:
Mailing Address - City:BRIER
Mailing Address - State:WA
Mailing Address - Zip Code:98036-8487
Mailing Address - Country:US
Mailing Address - Phone:206-819-6689
Mailing Address - Fax:
Practice Address - Street 1:11226 NE 15TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3719
Practice Address - Country:US
Practice Address - Phone:425-401-8885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC61010658171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist