Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 64598 | GA |
N | 207PP0204X | Pediatric Emergency Physician | 29043 | OK |
N | 207PP0204X | Pediatric Emergency Physician | C154161 | CA |
Y | 207PP0204X | Pediatric Emergency Physician | E-14592 | AR |
NPI | 1518157296 |
---|---|
Provider Name | Dr. Jyh-I James Lu |
First Address | Little Rock, AR 72202-3500 |
Second Address | Springdale, AR 72762-0845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2007 |
Last Update Date | 11/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
273788001 | (05) | AR |