Provider Demographics
NPI:1467655399
Name:LIN, HONGFEI (MD, LIC AC)
Entity Type:Individual
Prefix:
First Name:HONGFEI
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:MD, LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 COOK ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5803
Mailing Address - Country:US
Mailing Address - Phone:303-320-1530
Mailing Address - Fax:
Practice Address - Street 1:5 COOK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5803
Practice Address - Country:US
Practice Address - Phone:303-320-1530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO209171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist