Individual
LYDIA S LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 TULLIE RD NE FL 2, ATLANTA, GA 30329-2309
(404) 785-5437
(404) 785-9111
Mailing address
1400 TULLIE RD NE FL 2, ATLANTA, GA 30329-2309
(404) 785-5437
(404) 785-9111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5810
GA
Other
Enumeration date
04/09/2010
Last updated
02/17/2022
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