Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 07971R | LA |
NPI | 1255351144 |
---|---|
Provider Name | Lily Hsu |
First Address | Baton Rouge, LA 70808-4326 |
Second Address | Baton Rouge, LA 70808-4326 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E56288 | (02) | LA |