Provider Demographics
NPI:1679653414
Name:LU, JOHN-PING (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MR
First Name:JOHN-PING
Middle Name:
Last Name:LU
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 CAMPBELL TRL
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-4808
Mailing Address - Country:US
Mailing Address - Phone:972-644-5060
Mailing Address - Fax:
Practice Address - Street 1:12860 HILLCREST RD STE 108
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-6525
Practice Address - Country:US
Practice Address - Phone:972-458-6818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00064171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist