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Individual
TIFFANY LU
Active
Individual
TIFFANY LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.174534
IL
207Q00000X
Family Medicine Physician
52007
KY
207Q00000X
Family Medicine Physician
58457
TN
207Q00000X
Family Medicine Physician
A144325
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100578710
—
KY
05
—
Q045999
—
TN
Enumeration date
06/22/2015
Last updated
12/01/2025
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