Provider Demographics
NPI:1831286392
Name:LIN, LISA PINGHUI (TSAO) (L AC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:PINGHUI (TSAO)
Last Name:LIN
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 1:5404 RAIN CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-6234
Mailing Address - Country:US
Mailing Address - Phone:512-707-8898
Mailing Address - Fax:512-707-8866
Practice Address - Street 1:4005 MANCHACA RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-6737
Practice Address - Country:US
Practice Address - Phone:512-707-8828
Practice Address - Fax:512-707-8866
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00005171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist