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Individual
DR. WILLIE DY LU
Active
Individual
DR. WILLIE DY LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A495970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046324
—
CA
01
—
00A495970
PTAN
—
01
—
1114959558
NPI
—
Enumeration date
07/07/2006
Last updated
06/06/2011
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