Provider Demographics
NPI:1477678001
Name:LU, YUE (LAC)
Entity Type:Individual
Prefix:
First Name:YUE
Middle Name:
Last Name:LU
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 1:6133 GOLDEN WEST AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-1754
Mailing Address - Country:US
Mailing Address - Phone:626-285-2977
Mailing Address - Fax:
Practice Address - Street 1:7220 ROSEMEAD BLVD STE 107B
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91775-1380
Practice Address - Country:US
Practice Address - Phone:626-283-9989
Practice Address - Fax:626-606-1327
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8071171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist