Individual
DR. SONG LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD.
Contact information
Practice address
1200 J D ANDERSON DR, DEPARTMENT OF PATHOLOGY, MORGANTOWN, WV 26505-3494
(304) 598-1266
Mailing address
PO BOX 1615, MORGANTOWN, WV 26507-1615
(518) 253-5472
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
MD438141
PA
207ZH0000X
Hematology (Pathology) Physician
TMP-02293
WV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD438141
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
TMP-02293
WV
Other
Enumeration date
09/23/2008
Last updated
07/21/2023
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