Provider Demographics
NPI:1447870829
Name:LU, YUNSHAN
Entity type:Individual
Prefix:
First Name:YUNSHAN
Middle Name:
Last Name:LU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 OAK ST UNIT 16
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-4730
Mailing Address - Country:US
Mailing Address - Phone:360-712-8606
Mailing Address - Fax:
Practice Address - Street 1:11 OAK ST UNIT 16
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-4730
Practice Address - Country:US
Practice Address - Phone:360-712-8606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-25
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist