Provider Demographics
NPI:1609945633
Name:HUANG, LILLIAN L (LAC, OMD)
Entity Type:Individual
Prefix:DR
First Name:LILLIAN
Middle Name:L
Last Name:HUANG
Suffix:
Gender:F
Credentials:LAC, OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 B ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-4107
Mailing Address - Country:US
Mailing Address - Phone:510-733-0288
Mailing Address - Fax:510-733-6273
Practice Address - Street 1:1025 B ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-4107
Practice Address - Country:US
Practice Address - Phone:510-733-0288
Practice Address - Fax:510-733-6273
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5587171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist