Provider Demographics
NPI:1598906158
Name:LU, SONGLINH (LAC)
Entity Type:Individual
Prefix:
First Name:SONGLINH
Middle Name:
Last Name:LU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9007 52ND AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4003
Mailing Address - Country:US
Mailing Address - Phone:718-606-8850
Mailing Address - Fax:
Practice Address - Street 1:20 W 20TH ST
Practice Address - Street 2:SUITE 803
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-4213
Practice Address - Country:US
Practice Address - Phone:347-743-4280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003771-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist