Individual
ETHAN NGHIA LU
Active
Individual
ETHAN NGHIA LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37796
AZ
207L00000X
Anesthesiology Physician
A76637
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307507
—
AZ
01
—
P00466470
MEDICARE RAILROAD
—
Enumeration date
07/12/2006
Last updated
10/27/2010
Update your record
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