Provider Demographics
NPI:1285147439
Name:DAISY HERB & ACUPUNCTURE
Entity type:Organization
Organization Name:DAISY HERB & ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT.LAC
Authorized Official - Prefix:
Authorized Official - First Name:SANGYI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC OMD
Authorized Official - Phone:512-584-0885
Mailing Address - Street 1:607 SE EVERETT MALL WAY STE 19
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-3211
Mailing Address - Country:US
Mailing Address - Phone:512-584-0885
Mailing Address - Fax:
Practice Address - Street 1:607 SE EVERETT MALL WAY STE 19
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-3211
Practice Address - Country:US
Practice Address - Phone:512-584-0885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-09
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60778380171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty