Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A82726 | CA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A82726 | CA |
NPI | 1003839846 |
---|---|
Provider Name | Dr. Allen P. Lu |
First Address | City Of Industry, CA 91748-1385 |
Second Address | City Of Industry, CA 91748-1385 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 23/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A8272600 | (05) | CA |