Provider Demographics
NPI:1366245086
Name:SERENITY ACUPUNCTURE AND HEALING LLC
Entity type:Organization
Organization Name:SERENITY ACUPUNCTURE AND HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURE
Authorized Official - Prefix:
Authorized Official - First Name:LAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GAO
Authorized Official - Suffix:
Authorized Official - Credentials:LAN GAO
Authorized Official - Phone:703-593-6501
Mailing Address - Street 1:12805 NETHERLEIGH PL
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-4222
Mailing Address - Country:US
Mailing Address - Phone:703-955-7698
Mailing Address - Fax:
Practice Address - Street 1:1035 STERLING RD STE 101
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-3838
Practice Address - Country:US
Practice Address - Phone:703-593-6501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty