Provider Demographics
NPI:1598472169
Name:RISING LOTUS ACUPUNCTURE PC
Entity Type:Organization
Organization Name:RISING LOTUS ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAC/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WAI FUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:NGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:646-925-8884
Mailing Address - Street 1:354 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5002
Mailing Address - Country:US
Mailing Address - Phone:646-925-8884
Mailing Address - Fax:888-502-9368
Practice Address - Street 1:354 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5002
Practice Address - Country:US
Practice Address - Phone:646-925-8884
Practice Address - Fax:888-502-9368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty