Individual
AL LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4970 WALNUT AVE, SACRAMENTO, CA 95841-3707
(916) 543-1593
(877) 466-7829
Mailing address
9769 TRIBECA DR, SACRAMENTO, CA 95829-9557
(916) 505-8604
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95016094
CA
Other
Enumeration date
04/15/2024
Last updated
08/29/2024
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