Shannon Yin Lu
Student in an Organized Health Care Education/Training Program in Sacramento, CA. Individual provider (NPI-1).
NPI number1609635366
StatusActive
Last updated in NPPESMar 15, 2024
Details
- NPI
- 1609635366
- Entity type
- Individual (NPI-1)
- Name
- Shannon Yin Lu
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2024
- Certification date
- Mar 15, 2024
- Last updated
- Mar 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4150 V St # 1100Sacramento, CA 95817-1460
Phone 916-734-2737
Mailing address
4150 V St # 1100Sacramento, CA 95817-1460
Phone 916-734-2737
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