Provider Demographics
NPI:1881051324
Name:XUE, LIAN (LAC)
Entity type:Individual
Prefix:
First Name:LIAN
Middle Name:
Last Name:XUE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 SHASTA WAY
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603-4842
Mailing Address - Country:US
Mailing Address - Phone:541-884-1952
Mailing Address - Fax:541-884-6085
Practice Address - Street 1:4220 SHASTA WAY
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-4842
Practice Address - Country:US
Practice Address - Phone:541-884-1952
Practice Address - Fax:541-884-6085
Is Sole Proprietor?:No
Enumeration Date:2016-01-27
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 3179171100000X
ORAC187595171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist