Provider Demographics
NPI:1700014339
Name:ZHENG, MIN (LAC)
Entity Type:Individual
Prefix:MRS
First Name:MIN
Middle Name:
Last Name:ZHENG
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 1:10827 NE 68TH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4000
Mailing Address - Country:US
Mailing Address - Phone:425-298-0671
Mailing Address - Fax:425-298-0671
Practice Address - Street 1:10827 NE 68TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-4000
Practice Address - Country:US
Practice Address - Phone:425-298-0671
Practice Address - Fax:425-298-0671
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60064453171100000X
WAAC60064453171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist