Provider Demographics
NPI:1487210407
Name:SUN, HAOYUE (LAC)
Entity Type:Individual
Prefix:
First Name:HAOYUE
Middle Name:
Last Name:SUN
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 1:9161 LIBERIA AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-1724
Mailing Address - Country:US
Mailing Address - Phone:703-420-2722
Mailing Address - Fax:703-420-2681
Practice Address - Street 1:9161 LIBERIA AVE STE 102
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-1724
Practice Address - Country:US
Practice Address - Phone:703-420-2722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02608171100000X
VA0121000904171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0121000904OtherACUPUNCTURE