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Individual

LUCY TAN XU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
7130 MINSTREL WAY STE LL100, COLUMBIA, MD 21045-5242
(410) 997-4443
Mailing address
7501 GREENWAY CENTER DR STE 700, GREENBELT, MD 20770-6703
(301) 441-4577

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.026699
OH
207W00000X
Ophthalmology Physician
57.026699
OH
207W00000X
Ophthalmology Physician
Primary
82297
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/24/2015
Last updated
04/11/2023
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