Individual
QI LU
Active
Individual
QI LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15669
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32001557
—
NH
Enumeration date
11/12/2010
Last updated
10/16/2012
Update your record
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