Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | A140666 | CA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME150350 | FL |
NPI | 1366861882 |
---|---|
Provider Name | Young Lu |
First Address | Miami, FL 33136-1002 |
Second Address | Miami, FL 33136-1002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2014 |
Last Update Date | 06/10/2021 |