Organization
TOTAL HEALTH CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAOJIE LU L.AC (PRESIDENT)
(763) 586-6045
Entity
Organization
Contact information
Practice address
5178 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421
(763) 586-6045
(763) 586-1098
Mailing address
5178 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-1825
(763) 586-6045
(763) 586-1098
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
207Q00000X
Family Medicine Physician
3900177
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0685
ACUPUNCTURE
MN
Enumeration date
12/26/2006
Last updated
07/15/2022
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