Provider Demographics
NPI:1356567416
Name:LUO, DAO QUN (CA)
Entity type:Individual
Prefix:MR
First Name:DAO QUN
Middle Name:
Last Name:LUO
Suffix:
Gender:M
Credentials:CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 W STATE ROAD 436 STE 1039
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3041
Mailing Address - Country:US
Mailing Address - Phone:407-788-2668
Mailing Address - Fax:407-788-2668
Practice Address - Street 1:851 W STATE ROAD 436 STE 1039
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3041
Practice Address - Country:US
Practice Address - Phone:407-788-2668
Practice Address - Fax:407-788-2668
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP782171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist