Provider Demographics
NPI:1568889533
Name:ZHU, JULIAN (LAC)
Entity Type:Individual
Prefix:MR
First Name:JULIAN
Middle Name:
Last Name:ZHU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1154 HOLLOW VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-2466
Mailing Address - Country:US
Mailing Address - Phone:314-477-6688
Mailing Address - Fax:
Practice Address - Street 1:17269 WILD HORSE CREEK RD
Practice Address - Street 2:SUITE 140
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1360
Practice Address - Country:US
Practice Address - Phone:314-477-6688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-27
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012039671171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist