NPI 1194107847

Lotus Acupuncture & Fertility Clinic

Organisation Preferred Provider Organization Vancouver, WA

Practice location

Address: 15593 SE Mill Plain Blvd, Vancouver, WA 98684-8954
Phone: (360) 798-4950
Fax: (360) 896-0424
Mailing address: 501 SE 123rd Ave APT N100, Vancouver, WA 98683-4041

Authorised official

Name: Zhenbo Li
Title: Owner
Phone: (360) 798-4950

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence AC00002855 (WA)

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Registry record

NPI: 1194107847
Entity type: Organization
NPI issued: 18 Jun 2015
Record last updated: 18 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.