Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 209.023010 | IL |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 209.023010 | IL |
NPI | 1164007928 |
---|---|
Provider Name | Yi-Hsuan Lu |
First Address | Chicago, IL 60637-1425 |
Second Address | Chicago, IL 60637-1425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2021 |
Last Update Date | 28/09/2021 |