Individual
DIANE LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
198 MASSACHUSETTS AVE STE 103, NORTH ANDOVER, MA 01845-4143
(978) 685-7550
Mailing address
1200 ELM ST UNIT 910, MANCHESTER, NH 03101-2534
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
020338
NY
Other
Enumeration date
11/17/2016
Last updated
06/10/2024
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