Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | E4022 | AR |
Y | 207K00000X | Allergist & Immunologist | MD463004 | PA |
N | 207RA0201X | Internist - Allergy & Immunology | MD463004 | PA |
NPI | 1225039712 |
---|---|
Provider Name | Ellen Lu |
First Address | Pittsburgh, PA 15212-4740 |
Second Address | Pittsburgh, PA 15212-4740 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 06/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103442850 | (05) | PA |
152957001 | (05) | AR |
I04643 | (02) |