Individual
PETER LUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5794
(760) 241-8000
Mailing address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5794
(760) 241-8000
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
A89644
CA
207Q00000X
Family Medicine Physician
A89644
CA
208M00000X
Hospitalist Physician
Primary
A89644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A896440
—
CA
Enumeration date
05/12/2006
Last updated
04/13/2010
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