Individual
LU PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-7701
(419) 696-7866
Mailing address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-7701
(419) 696-7866
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35077516
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130437
BCBS
OH
05
—
0143580
—
OH
Enumeration date
06/10/2006
Last updated
07/30/2007
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