Provider Demographics
NPI:1558754440
Name:LOU, WEI (LAC)
Entity Type:Individual
Prefix:
First Name:WEI
Middle Name:
Last Name:LOU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:341 CASTRO ST STE D
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-1296
Mailing Address - Country:US
Mailing Address - Phone:415-423-4462
Mailing Address - Fax:408-414-7732
Practice Address - Street 1:341 CASTRO ST STE D
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-1296
Practice Address - Country:US
Practice Address - Phone:408-660-5403
Practice Address - Fax:408-414-7732
Is Sole Proprietor?:No
Enumeration Date:2015-03-17
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 16213171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist