Provider Demographics
NPI:1881743714
Name:HUANG, DAW CHENG (LAC)
Entity type:Individual
Prefix:MS
First Name:DAW
Middle Name:CHENG
Last Name:HUANG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:JEANNE
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:2060 ACOMA BLVD W
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-2974
Mailing Address - Country:US
Mailing Address - Phone:928-854-4325
Mailing Address - Fax:928-855-2285
Practice Address - Street 1:2060 ACOMA BLVD W
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-2974
Practice Address - Country:US
Practice Address - Phone:928-854-4325
Practice Address - Fax:928-855-2285
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0024171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist