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Individual

KEVIN LU

Active
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Individual

KEVIN LU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD474758
PA
207R00000X
Internal Medicine Physician
MT210708
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD474758
MD LICENSE
PA
Enumeration date
06/16/2016
Last updated
08/11/2021
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