Individual
KIMBERLY LUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 DUARTE ROAD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3200
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
95001324
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95001324
CA
Other
Enumeration date
09/23/2014
Last updated
11/12/2020
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