Provider Demographics
NPI:1982303582
Name:XU, ZHUO LUAN (CGC)
Entity Type:Individual
Prefix:
First Name:ZHUO LUAN
Middle Name:
Last Name:XU
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 N YORK RD APT 400-39
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-2156
Mailing Address - Country:US
Mailing Address - Phone:267-241-5859
Mailing Address - Fax:
Practice Address - Street 1:91 N YORK RD, APT 400-39
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090
Practice Address - Country:US
Practice Address - Phone:972-560-0340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS