Individual
SISI LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-2902
(216) 444-2200
Mailing address
128 E APPLE ST STE 7000, DAYTON, OH 45409-2902
(937) 208-4953
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.150840
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2019
Last updated
06/25/2024
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