Provider Demographics
NPI:1992272181
Name:LO, TSUI FEN (LAC)
Entity type:Individual
Prefix:MS
First Name:TSUI FEN
Middle Name:
Last Name:LO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:TSUI FEN
Other - Middle Name:
Other - Last Name:KUO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:1515 SCOTT ST # 2
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3511
Mailing Address - Country:US
Mailing Address - Phone:415-771-8050
Mailing Address - Fax:415-771-8052
Practice Address - Street 1:1515 SCOTT ST # 2
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3511
Practice Address - Country:US
Practice Address - Phone:415-771-8050
Practice Address - Fax:415-771-8052
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC15725171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist