Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301096724 | MI |
N | 111NI0900X | Internist | 4301096724 | MI |
N | 207R00000X | Internist | A101705 | CA |
N | 111NI0900X | Internist | A101705 | CA |
Y | 207RN0300X | Nephrologist | 4301096724 | MI |
N | 208000000X | Pediatrician | A101705 | CA |
N | 2080P0210X | Pediatric Nephrologist | 4301096724 | MI |
NPI | 1205080710 |
---|---|
Provider Name | Yee Lu |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2008 |
Last Update Date | 24/06/2019 |