Individual
QUANG LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4036 E CARLA VISA DR, GILBERT, AZ 85295
(678) 510-3849
Mailing address
4036 E CARLA VISA DR, GILBERT, AZ 85295
(678) 510-3849
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
94693
HI
163WC0200X
Critical Care Medicine Registered Nurse
RN270396
GA
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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