Individual
LAN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
726 ROCKVILLE PIKE, ROCKVILLE, MD 20852-1133
(240) 238-0411
(610) 402-5959
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007112
MD
363AM0700X
Medical Physician Assistant
MA058269
PA
Other
Enumeration date
07/25/2016
Last updated
04/22/2019
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