Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT61057782 | WA |
NPI | 1063035251 |
---|---|
Provider Name | Dr. Linda Lu |
First Address | Bothell, WA 98011-2133 |
Second Address | Bothell, WA 98011-2133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2020 |
Last Update Date | 21/05/2020 |