Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 036127059 | IL |
N | 204F00000X | Transplant Surgeon | 201318 | NY |
N | 204F00000X | Transplant Surgeon | 32328 | DC |
Y | 204F00000X | Transplant Surgeon | ME134625 | FL |
N | 208200000X | Surgeon | 036127059 | IL |
N | 208600000X | Surgeon | 036127059 | IL |
NPI | 1821098641 |
---|---|
Provider Name | Amy D Lu |
First Address | Tampa, FL 33601-1289 |
Second Address | Tampa, FL 33606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 02/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H18586 | (02) |