Provider Demographics
NPI:1740430859
Name:HSU, LAWRENCE (L AC)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:
Last Name:HSU
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:MR
Other - First Name:LARRY
Other - Middle Name:
Other - Last Name:HSU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:L AC
Mailing Address - Street 1:PO BOX 94482
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-6782
Mailing Address - Country:US
Mailing Address - Phone:206-459-6505
Mailing Address - Fax:866-298-7689
Practice Address - Street 1:2027 19TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-4407
Practice Address - Country:US
Practice Address - Phone:206-368-9120
Practice Address - Fax:866-298-7689
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC0748171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist