Organization Active NPI

Lilburn Acupuncture LLC

  • Health Service Clinic/Center
  • Lilburn, GA
National Provider Identifier
1275041287
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
000344 Issued in GA
Legal business name
LILBURN ACUPUNCTURE LLC
Practice address
4705 Lawrenceville Hwy NW Ste B
Lilburn, GA 30047-3667
Phone
(678) 779-6007
NPI assigned
Jan 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Yiming Lin, ACUPUNCTURISTNPI 1619481389
Title
Owner
Phone
(678) 779-6007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 000344 GA Primary

Addresses

Primary practice location

4705 Lawrenceville Hwy NW Ste B
Lilburn, GA 30047-3667

Mailing address

4705 Lawrenceville Hwy NW Ste B
Lilburn, GA 30047-3667
Phone (678) 779-6007

Other identifiers 1

IdentifierTypeStateIssuer
049305387OtherGADRIVE LISCENCE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1275041287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 LAWRENCEVILLE HWY NW STE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473667",
            "telephone_number": "678-779-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 LAWRENCEVILLE HWY NW STE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473667",
            "telephone_number": "678-779-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILBURN ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "YIMING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-779-6007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "000344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVE LISCENCE",
            "identifier": "049305387",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.