Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 228 | VI |
N | 208D00000X | General Practice Physician | 228 | VI |
NPI | 1023026937 |
---|---|
Provider Name | Dr. Leighmin James Lu |
First Address | St Thomas, VI 00801 |
Second Address | St Thomas, VI 00801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D83359 | (02) |