Provider Demographics
NPI:1932818473
Name:LIN, RUIXUN (LAC)
Entity Type:Individual
Prefix:MR
First Name:RUIXUN
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2448 76TH AVE SE STE 212
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2744
Mailing Address - Country:US
Mailing Address - Phone:206-462-1330
Mailing Address - Fax:425-449-4085
Practice Address - Street 1:2448 76TH AVE SE STE 212
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2744
Practice Address - Country:US
Practice Address - Phone:206-462-1330
Practice Address - Fax:425-449-4085
Is Sole Proprietor?:No
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC61285770171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist