Provider Demographics
NPI:1912110628
Name:LU, CHIA LI (LAC)
Entity Type:Individual
Prefix:MS
First Name:CHIA LI
Middle Name:
Last Name:LU
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 1:765 DAIRY ASHFORD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5305
Mailing Address - Country:US
Mailing Address - Phone:281-558-8989
Mailing Address - Fax:281-558-8980
Practice Address - Street 1:765 DAIRY ASHFORD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5305
Practice Address - Country:US
Practice Address - Phone:281-558-8989
Practice Address - Fax:281-558-8980
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00778171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist