Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT200992 | PA |
N | 111NI0900X | Internist | MT200992 | PA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 35.135809 | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | 35.135809 | OH |
NPI | 1194084202 |
---|---|
Provider Name | Dr. Chonyang Lu Albert |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-4206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2012 |
Last Update Date | 11/11/2020 |