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Individual

DR. GORDON LUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8860 COLUMBIA 100 PARKWAY, SUITE 101, COLUMBIA, MD 21045
(410) 997-9900
(410) 997-4498
Mailing address
8860 COLUMBIA 100 PARKWAY, SUITE 101, COLUMBIA, MD 21045
(410) 997-9900
(410) 997-4498

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
174400000X
MD
207W00000X
Ophthalmology Physician
Primary
D0046376
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
299681200
MD
01
325666
ALLIANCE
MD
01
4516945
AETNA
MD
01
53261002
CAREFIRST
MD
01
87540005
CAREFIRST DC
MD
Enumeration date
06/08/2006
Last updated
04/11/2019
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