Individual
ETHAN C LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 FAULKNER ST APT 3, DORCHESTER, MA 02122-1315
(732) 939-3092
Mailing address
9 FAULKNER ST APT 3, DORCHESTER, MA 02122-1315
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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