Provider Demographics
NPI:1396925632
Name:CHEN, FURUI (LAC)
Entity type:Individual
Prefix:
First Name:FURUI
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7422 SINGING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3768
Mailing Address - Country:US
Mailing Address - Phone:720-232-7688
Mailing Address - Fax:
Practice Address - Street 1:5330 MANHATTAN CIR
Practice Address - Street 2:SUITE F
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-4240
Practice Address - Country:US
Practice Address - Phone:303-499-0152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-03
Last Update Date:2007-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1288171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist