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Individual
POU ELLIE LUE
Active
Individual
POU ELLIE LUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95013383
CA
363LF0000X
Family Nurse Practitioner
Primary
95013383
CA
Other
Enumeration date
11/27/2019
Last updated
05/23/2024
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