Organization
LILBURN ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YIMING LIN ACUPUNCTURIST (OWNER)
(678) 779-6007
Entity
Organization
Contact information
Practice address
4705 LAWRENCEVILLE HWY NW STE B, LILBURN, GA 30047-3667
(678) 779-6007
Mailing address
4705 LAWRENCEVILLE HWY NW STE B, LILBURN, GA 30047-3667
(678) 779-6007
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
000344
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049305387
DRIVE LISCENCE
GA
Enumeration date
01/12/2018
Last updated
01/12/2018
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