Provider Demographics
NPI:1861563868
Name:AHN, BYOUNG Y (LAC)
Entity type:Individual
Prefix:MR
First Name:BYOUNG
Middle Name:Y
Last Name:AHN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18514 HIGHWAY 99. AHN'S ACUPUNCTURE CLINIC
Mailing Address - Street 2:SUITE D
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-4549
Mailing Address - Country:US
Mailing Address - Phone:425-774-1535
Mailing Address - Fax:
Practice Address - Street 1:18514 HIGHWAY 99
Practice Address - Street 2:SUITE D
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-4549
Practice Address - Country:US
Practice Address - Phone:425-774-1535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000299171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist