Provider Demographics
NPI:1972279438
Name:LAKE HILLS ACUPUNCTURE & ORIENTAL MEDICINE, PLLC
Entity Type:Organization
Organization Name:LAKE HILLS ACUPUNCTURE & ORIENTAL MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONG
Authorized Official - Middle Name:
Authorized Official - Last Name:NING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-372-7248
Mailing Address - Street 1:1811 156TH AVE NE STE 5
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4344
Mailing Address - Country:US
Mailing Address - Phone:425-372-7248
Mailing Address - Fax:888-508-8115
Practice Address - Street 1:1811 156TH AVE NE STE 5
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4344
Practice Address - Country:US
Practice Address - Phone:425-372-7248
Practice Address - Fax:888-508-8115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty