Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35.126460 | OH |
N | 207V00000X | Obstetrician & Gynecologist | L590667 | MI |
NPI | 1013236397 |
---|---|
Provider Name | Dr. Lulu X Zhao |
First Address | Highland Hills, OH 44122-7202 |
Second Address | Cleveland, OH 44106-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2010 |
Last Update Date | 08/12/2020 |