Provider Demographics
NPI:1740594480
Name:ZHANG, LEI ROBERT (LAC)
Entity Type:Individual
Prefix:MR
First Name:LEI
Middle Name:ROBERT
Last Name:ZHANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2254 E OLIVE RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6152
Mailing Address - Country:US
Mailing Address - Phone:251-458-2288
Mailing Address - Fax:251-343-6666
Practice Address - Street 1:2254 E OLIVE RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6152
Practice Address - Country:US
Practice Address - Phone:251-458-2288
Practice Address - Fax:251-343-6666
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2783171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist