Provider Demographics
NPI:1811221658
Name:LUO, XIAOPING SUE (LAC)
Entity Type:Individual
Prefix:
First Name:XIAOPING SUE
Middle Name:
Last Name:LUO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:SUE
Other - Middle Name:
Other - Last Name:LUO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:65 ORCHARD WAY N
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20854-6127
Mailing Address - Country:US
Mailing Address - Phone:240-479-9807
Mailing Address - Fax:
Practice Address - Street 1:65 ORCHARD WAY N
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20854-6127
Practice Address - Country:US
Practice Address - Phone:240-479-9807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-28
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01167171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist