Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 06735R | LA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 06735R | LA |
NPI | 1063433084 |
---|---|
Provider Name | Lolie C Yu |
First Address | New Orleans, LA 70118-5720 |
Second Address | New Orleans, LA 70118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2006 |
Last Update Date | 12/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00012138 | (05) | MS |
02877732 | (05) | NY |
1378585 | (05) | LA |
G31815 | (02) | LA |