Provider Demographics
NPI:1811391485
Name:BYEON, HYUNG SIK (LAC)
Entity Type:Individual
Prefix:
First Name:HYUNG SIK
Middle Name:
Last Name:BYEON
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 1:7004 LITTLE RIVER TPKE STE F
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3201
Mailing Address - Country:US
Mailing Address - Phone:703-907-9299
Mailing Address - Fax:571-282-3395
Practice Address - Street 1:7004 LITTLE RIVER TPKE STE F
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3201
Practice Address - Country:US
Practice Address - Phone:703-907-9299
Practice Address - Fax:571-282-3395
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-10
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02358171100000X
DCAC500235171100000X
VA0121000741171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist