Individual
DR. LULU SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4320 FOREST PARK AVE, DIV PA, GENOMIC AND MOLECULAR PATHOLOGY, STE 209, SAINT LOUIS, MO 63108-2979
(314) 362-5641
(314) 362-0369
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-5641
(314) 362-0369
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
2020005822
MO
207ZP0101X
Anatomic Pathology Physician
2020005822
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200063795
—
MO
Enumeration date
07/02/2016
Last updated
04/17/2025
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