Individual
DR. LY LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112-1100
(801) 581-4390
Mailing address
15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112-1100
(801) 581-4390
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
11291133-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
11291133-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
7691
NE
Other
Enumeration date
08/28/2016
Last updated
11/12/2020
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