Provider Demographics
NPI:1912751991
Name:LU ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:LU ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:WEIDONG
Authorized Official - Middle Name:
Authorized Official - Last Name:LU
Authorized Official - Suffix:
Authorized Official - Credentials:LICAC
Authorized Official - Phone:617-244-2833
Mailing Address - Street 1:55 CHAPEL STREET
Mailing Address - Street 2:SUITE 004
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458
Mailing Address - Country:US
Mailing Address - Phone:617-244-2833
Mailing Address - Fax:
Practice Address - Street 1:55 CHAPEL STREET
Practice Address - Street 2:SUITE 004
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458
Practice Address - Country:US
Practice Address - Phone:617-244-2833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty