Provider Demographics
NPI:1285249920
Name:HSU, LORI CHU-YUN (LAC, DACHM)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:CHU-YUN
Last Name:HSU
Suffix:
Gender:F
Credentials:LAC, DACHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 N ROSE DR # 504
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-7513
Mailing Address - Country:US
Mailing Address - Phone:515-981-6818
Mailing Address - Fax:714-729-8036
Practice Address - Street 1:100 N STATE COLLEGE BLVD STE D
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-4236
Practice Address - Country:US
Practice Address - Phone:657-688-2765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18928171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist