Individual
DR. MARIE KATRINA TAN LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 688-1350
Mailing address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
081623
GA
390200000X
Student in an Organized Health Care Education/Training Program
MT209530
PA
Other
Enumeration date
07/13/2015
Last updated
03/27/2019
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