Individual
BO LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-7770
(573) 882-9876
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2023006525
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255173
—
NJ
05
—
102558832
—
PA
Enumeration date
10/25/2006
Last updated
03/07/2023
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