Individual
DI LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S RM 3620, ORANGE, CA 92868
(714) 456-6141
(714) 456-5873
Mailing address
101 THE CITY DR S RM 3620, ORANGE, CA 92868-3201
(714) 456-6141
(714) 456-5873
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
C55052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119463
—
MA
Enumeration date
05/25/2006
Last updated
07/27/2018
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