Provider Demographics
NPI:1740577097
Name:CHOI, EUISUN L (LAC)
Entity Type:Individual
Prefix:DR
First Name:EUISUN
Middle Name:L
Last Name:CHOI
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 1:8200 TYSON RD
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-3432
Mailing Address - Country:US
Mailing Address - Phone:410-461-3533
Mailing Address - Fax:410-461-3533
Practice Address - Street 1:8200 TYSON RD
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-3432
Practice Address - Country:US
Practice Address - Phone:410-461-3533
Practice Address - Fax:410-461-3533
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00988171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist