Provider Demographics
NPI:1508272469
Name:ZHAN, LU
Entity Type:Individual
Prefix:
First Name:LU
Middle Name:
Last Name:ZHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16425 PIONEER BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-7057
Mailing Address - Country:US
Mailing Address - Phone:562-402-6827
Mailing Address - Fax:
Practice Address - Street 1:16425 PIONEER BLVD STE 104
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-7057
Practice Address - Country:US
Practice Address - Phone:562-402-6827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4440171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist