Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 4301110488 | MI |
Y | 2086S0129X | Vascular Surgeon | A170348 | CA |
NPI | 1154772515 |
---|---|
Provider Name | Joyce Lu |
First Address | Visalia, CA 93277-8306 |
Second Address | Visalia, CA 93277-8306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2016 |
Last Update Date | 15/09/2021 |