Individual
DR. ERIC U LUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LINCOLN AVENUE CLINIC, 11211 WEST LINCOLN AVENUE, WEST ALLIS, WI 53227
(414) 456-5900
Mailing address
11211 W LINCOLN AVE, LINCOLN AVENUE CLINIC, WEST ALLIS, WI 53227-1035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36991
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32321300
—
WI
Enumeration date
05/15/2006
Last updated
07/08/2007
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