Individual
GHAI LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22750 ROCKSIDE RD #100, BEDFORD, OH 44146
(440) 735-2800
(440) 786-2723
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(440) 735-2800
(440) 786-2723
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35064693L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0909191
—
OH
Enumeration date
09/21/2006
Last updated
12/31/2020
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