Individual provider · NPI-1

Dr. Song Lu, M.D., PhD.

Pathology, Anatomic Pathology & Clinical Pathology · Morgantown, WV

NPI number1073763454
StatusActive
Last updated in NPPESJul 21, 2023

Details

NPI
1073763454
Entity type
Individual (NPI-1)
Name
Dr. Song Lu
Credential
M.D., PhD.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 23, 2008
Certification date
Jul 21, 2023
Last updated
Jul 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical PathologyTMP-02293WVYes
207ZH0000X Pathology, HematologyTMP-02293WV
207ZH0000X Pathology, HematologyMD438141PA
207ZP0102X Pathology, Anatomic Pathology & Clinical PathologyMD438141PA

Practice location

1200 J D Anderson Dr
Department Of Pathology
Morgantown, WV 26505-3494

Phone 304-598-1266

Mailing address

Po Box 1615
Morgantown, WV 26507-1615

Phone 518-253-5472

Other practice locations

1 Hospital Plz
Grafton, WV 26354-1283

Phone 304-265-7180

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pathology, Anatomic Pathology & Clinical Pathology providers in Morgantown, WV