Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 225847 | NY |
NPI | 1144393265 |
---|---|
Provider Name | Dr. Ping Lu |
First Address | Latham, NY 12110-2461 |
Second Address | Albany, NY 12208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 20/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02387575 | (05) | NY |
H80073 | (02) | NY |