Provider Demographics
NPI:1972975381
Name:XIA, YANMING (LAC)
Entity type:Individual
Prefix:
First Name:YANMING
Middle Name:
Last Name:XIA
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 1:112 WINTERVIEW PL
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-6246
Mailing Address - Country:US
Mailing Address - Phone:919-725-1778
Mailing Address - Fax:
Practice Address - Street 1:2201 CANDUN DR STE 104
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27523-6413
Practice Address - Country:US
Practice Address - Phone:919-823-1789
Practice Address - Fax:919-516-9725
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-25
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAC-850171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist