Individual
LOMDA LUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1005 DR DB TODD JR BLVD, NASHVILLE, TN 37208-3501
(615) 327-6611
Mailing address
17017 N 12TH ST UNIT 2130, PHOENIX, AZ 85022-6703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56669
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2015
Last updated
10/02/2018
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