Individual
KIEU LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
10800 MIDLOTHIAN TPKE, SUITE # 265, RICHMOND, VA 23235-4724
(804) 594-2622
Mailing address
13301 PRINCE JAMES DR, CHESTERFIELD, VA 23832-2685
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101247315
VA
207L00000X
Anesthesiology Physician
128067
NC
207L00000X
Anesthesiology Physician
D69172
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417765700
—
MD
Enumeration date
04/24/2008
Last updated
02/15/2011
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