Provider Demographics
NPI:1497985451
Name:WANG, LEI-LEI CHU (L AC)
Entity Type:Individual
Prefix:
First Name:LEI-LEI
Middle Name:CHU
Last Name:WANG
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:LEI-LEI
Other - Middle Name:
Other - Last Name:CHU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37 BRIANS CIR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-1834
Mailing Address - Country:US
Mailing Address - Phone:609-937-0725
Mailing Address - Fax:
Practice Address - Street 1:37 BRIANS CIR
Practice Address - Street 2:
Practice Address - City:PRINCETON JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08550-1834
Practice Address - Country:US
Practice Address - Phone:609-937-0725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004089171100000X
NJ25MZ00068400171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist