Provider Demographics
NPI:1568597193
Name:JIN, LI (LAC)
Entity Type:Individual
Prefix:MRS
First Name:LI
Middle Name:
Last Name:JIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5343 TALLMAN AVE NW
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3931
Mailing Address - Country:US
Mailing Address - Phone:206-783-7771
Mailing Address - Fax:206-783-1468
Practice Address - Street 1:5343 TALLMAN AVE NW
Practice Address - Street 2:SUITE 206
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3931
Practice Address - Country:US
Practice Address - Phone:206-783-7771
Practice Address - Fax:206-783-1468
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAC00000609171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist