Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 227134 | MA |
N | 111NI0900X | Internist | 227134 | MA |
N | 207R00000X | Internist | 48511 | CT |
N | 111NI0900X | Internist | 48511 | CT |
Y | 207RH0003X | Hematology & Oncology | 48511 | CT |
NPI | 1043389174 |
---|---|
Provider Name | Zhao Lu |
First Address | Milford, CT 06460-3537 |
Second Address | Milford, CT 06460-3537 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 08/12/2011 |