Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2001011419 | MO |
NPI | 1083613061 |
---|---|
Provider Name | Dr. George C Lu |
First Address | Kansas City, MO 64116-1878 |
Second Address | Kansas City, MO 64116-1878 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 15/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
205298813 | (05) | MO |
2087310703 | (05) | KS |
G78588 | (02) |