Individual
LAURA TUDOR LU
Active
Individual
LAURA TUDOR LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7136-33
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
7136
WI
363LG0600X
Gerontology Nurse Practitioner
7136
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366997785
—
WI
Enumeration date
08/16/2016
Last updated
09/09/2016
Update your record
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