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Individual

ANNE LU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
535 E 70TH ST, NEW YORK, NY 10021-4898
(212) 606-1000
Mailing address
535 E 70TH ST, PA DEPT, NEW YORK, NY 10021
(646) 238-6798

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
024475
NY
363AS0400X
Surgical Physician Assistant
085-006417
IL

Other

Enumeration date
10/30/2017
Last updated
04/22/2021
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