Provider Demographics
NPI:1699098566
Name:DIAO, LI YING (LAC)
Entity type:Individual
Prefix:
First Name:LI
Middle Name:YING
Last Name:DIAO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3 INGATE TER
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-3849
Mailing Address - Country:US
Mailing Address - Phone:410-247-4635
Mailing Address - Fax:410-247-4635
Practice Address - Street 1:8975 GUILFORD RD STE 170
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2389
Practice Address - Country:US
Practice Address - Phone:443-453-7727
Practice Address - Fax:410-247-4635
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDUA3141232171100000X
MDU01780171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist