Provider Demographics
NPI:1578721338
Name:LUO, YI
Entity Type:Individual
Prefix:
First Name:YI
Middle Name:
Last Name:LUO
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 1:5 WENTWORTH ST
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-1322
Mailing Address - Country:US
Mailing Address - Phone:617-792-2136
Mailing Address - Fax:781-269-5613
Practice Address - Street 1:11 VANDERBILT AVE
Practice Address - Street 2:210
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5056
Practice Address - Country:US
Practice Address - Phone:781-688-0138
Practice Address - Fax:781-269-5613
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist