Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 246835 | NY |
Y | 207ND0101X | MOHS-Micrographic Surgeon | 25MA08557200 | NJ |
NPI | 1144483116 |
---|---|
Provider Name | Rebecca Y. Lu |
First Address | Warren, NJ 07059-2636 |
Second Address | Warren, NJ 07059-2636 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 03/12/2015 |