Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | A126567 | CA |
N | 2080P0214X | Pediatric Pulmonologist | D0070250 | MD |
NPI | 1265633887 |
---|---|
Provider Name | Kim D Lu |
First Address | Orange, CA 92868-4482 |
Second Address | Orange, CA 92868-2903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 20/07/2016 |