Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 20563 | NV |
Y | 111NI0900X | Internist | 20563 | NV |
NPI | 1003311960 |
---|---|
Provider Name | Eric Xiaofeng Lu |
First Address | Reno, NV 89502-1576 |
Second Address | Reno, NV 89502-1576 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2018 |
Last Update Date | 28/06/2021 |