Active NPI
Yan Lu
- Acupuncturist
- Roseville, MN
National Provider Identifier
1518766880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2103
- Practice address
- 1925 County Road B2 W Ste 1-6
Roseville, MN 55113-2703 - Phone
- (651) 631-0204
- NPI assigned
- Mar 10, 2025
- Last updated
- Mar 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 2103 | MN | Primary |
Addresses
Primary practice location
1925 County Road B2 W Ste 1-6
Roseville, MN 55113-2703
Mailing address
1290 County Road F W Apt 213
Saint Paul, MN 55112-2904
Phone (612) 229-8412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2103 | MN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1518766880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 COUNTY ROAD F W APT 213",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551122904",
"telephone_number": "612-229-8412",
"fax_number": "612-229-8412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 COUNTY ROAD B2 W STE 1-6",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132703",
"telephone_number": "651-631-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "YAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "2103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.