Provider Demographics
NPI:1265889521
Name:XIANG, YILAN (LAC)
Entity type:Individual
Prefix:
First Name:YILAN
Middle Name:
Last Name:XIANG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:YILAN
Other - Middle Name:
Other - Last Name:XIANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACUPUNCTURIST
Mailing Address - Street 1:6006 MARQUETTE TER
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1752
Mailing Address - Country:US
Mailing Address - Phone:404-602-2552
Mailing Address - Fax:
Practice Address - Street 1:7215 ARLINGTON RD STE 202
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2988
Practice Address - Country:US
Practice Address - Phone:404-602-2552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-17
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02263171100000X
VA0121-000810171100000X
DCAC500248171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist