Individual
QUANG LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1648 E BERETTA PL, CHANDLER, AZ 85286-1153
(678) 510-3849
Mailing address
1648 E BERETTA PL, CHANDLER, AZ 85286-1153
(678) 510-3849
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
308880
AZ
163WC0200X
Critical Care Medicine Registered Nurse
Primary
94693
HI
163WC0200X
Critical Care Medicine Registered Nurse
95418374
CA
163WC0200X
Critical Care Medicine Registered Nurse
RN270396
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
308880
AZ
Other
Enumeration date
08/30/2023
Last updated
06/11/2026
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