Provider Demographics
NPI:1982722302
Name:MU, FANG (LAC, OMD)
Entity Type:Individual
Prefix:
First Name:FANG
Middle Name:
Last Name:MU
Suffix:
Gender:F
Credentials:LAC, OMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2783 NC HIGHWAY 68 S
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-8324
Mailing Address - Country:US
Mailing Address - Phone:336-885-8898
Mailing Address - Fax:336-436-9138
Practice Address - Street 1:2783 NC HIGHWAY 68 S
Practice Address - Street 2:SUITE 105
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8324
Practice Address - Country:US
Practice Address - Phone:336-885-8898
Practice Address - Fax:336-436-9138
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC198171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist