Individual
LINGXIAO LU
Active
Individual
LINGXIAO LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2021028732
MO
363LG0600X
Gerontology Nurse Practitioner
28220633A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005862
—
IN
01
—
M47140291
MEDICARE
IN
Enumeration date
06/30/2017
Last updated
08/25/2021
Update your record
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