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Individual

LUCY TAN XU

Active
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Individual

LUCY TAN XU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.026699
OH
207W00000X
Ophthalmology Physician
57.026699
OH
207W00000X
Ophthalmology Physician
Primary
82297
GA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
0101273135
VA
207WX0107X
Retina Specialist (Ophthalmology) Physician
D0091892
MD
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD200001303
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—

Other

Enumeration date
04/24/2015
Last updated
10/05/2026
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