Individual
LYNDON D SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2440 S SEPULVEDA BLVD, SUITE 235, LOS ANGELES, CA 90064-1784
(818) 689-1808
Mailing address
2440 S SEPULVEDA BLVD, SUITE 235, LOS ANGELES, CA 90064-1784
(818) 689-1808
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
4301060359
MI
207ZD0900X
Dermatopathology (Pathology) Physician
G84418
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301060359
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G84418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3483770
—
MI
Enumeration date
10/19/2006
Last updated
05/27/2008
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