Individual
LUSHA XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4901 N KEDZIE AVE, CHICAGO, IL 60625-5009
(570) 777-1389
Mailing address
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030580
IL
Other
Enumeration date
05/06/2015
Last updated
06/11/2019
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