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Individual
LESLIE I LU
Active
Individual
LESLIE I LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G85467
CA
207R00000X
Internal Medicine Physician
MD00033606
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200LU
REGENCE
WA
01
—
223012
LABOR & INDUSTRY
WA
01
—
5891740001
DME
WA
05
—
8204257
—
WA
01
—
MD6063
ALASKA MEDICAID
WA
01
—
P00442323
PALMETTO RR MEDICARE
WA
Enumeration date
09/13/2006
Last updated
11/05/2021
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