# SAMANTHA FAN LU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1700273273
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 036157445 | IL | Yes |
| 207L00000X | Anesthesiology Physician | 125.071572 | IL | — |

## Other

- **Enumeration date:** 04/22/2015
- **Last updated:** 10/28/2021
