Individual
QING LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2018
(859) 301-2073
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-2018
(859) 301-2073
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
01085702A
IN
207ZP0101X
Anatomic Pathology Physician
Primary
40736
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD31751
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200938550
—
IN
05
—
2853756
—
OH
05
—
7100041000
—
KY
Enumeration date
08/01/2006
Last updated
07/27/2021
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