Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 57037-20 | WI |
NPI | 1205152543 |
---|---|
Provider Name | Karrie Lynn Lu |
First Address | Milwaukee, WI 53215-3677 |
Second Address | Milwaukee, WI 53215-3677 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2010 |
Last Update Date | 19/11/2021 |