Provider Demographics
NPI:1396872677
Name:LIN, HONG (LIC AC)
Entity type:Individual
Prefix:MS
First Name:HONG
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 MAIDEN LN
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-6655
Mailing Address - Country:US
Mailing Address - Phone:202-213-2105
Mailing Address - Fax:301-229-1161
Practice Address - Street 1:4808 MOORLAND LN
Practice Address - Street 2:#101
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6131
Practice Address - Country:US
Practice Address - Phone:202-213-2105
Practice Address - Fax:301-229-1161
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU1073171100000X
DCAC30084171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist