Individual
LUSAI QIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 IRONSTONE DR, NORTHUMBERLAND, PA 17857-8543
(570) 235-2468
Mailing address
112 IRONSTONE DR, NORTHUMBERLAND, PA 17857-8543
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042976
PA
Other
Enumeration date
08/16/2017
Last updated
05/28/2022
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