Provider Demographics
NPI:1851594642
Name:DUONG, LYNN (L AC)
Entity Type:Individual
Prefix:MISS
First Name:LYNN
Middle Name:
Last Name:DUONG
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4909 W PARK BLVD STE 163
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-2311
Mailing Address - Country:US
Mailing Address - Phone:972-801-9676
Mailing Address - Fax:972-926-0932
Practice Address - Street 1:4909 W PARK BLVD STE 163
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-2311
Practice Address - Country:US
Practice Address - Phone:972-801-9676
Practice Address - Fax:972-926-0932
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00789171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist