Individual
XIAO LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 776-3322
Mailing address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05-44621
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201334290A
—
KS
Enumeration date
04/11/2017
Last updated
08/04/2021
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