Provider Demographics
NPI:1053038406
Name:PIAO, LIANCHUN (ACUPUNCTURIST, LAC,)
Entity type:Individual
Prefix:
First Name:LIANCHUN
Middle Name:
Last Name:PIAO
Suffix:
Gender:F
Credentials:ACUPUNCTURIST, LAC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 PARKSIDE CT
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-4030
Mailing Address - Country:US
Mailing Address - Phone:120-136-0755
Mailing Address - Fax:
Practice Address - Street 1:47 PARKSIDE CT
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-4030
Practice Address - Country:US
Practice Address - Phone:201-360-7551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00161600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist