Doctor Name: | DR. MINH LUU |
NPI Number: | 1003042912 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25172 |
Business Practice Address: | 601 N 30th St Omaha, NE - 681312137 |
Business Phone Number: | 4022509397 |
Business Fax Number: | |
Mailing Address: | 20 S 41st St Apt 162, COUNCIL BLUFFS |
State: | IA |
Postal Code: | 515013375 |
Phone Number: | 4022509397 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2009 |
NPI Last Update Date: | 06/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25172 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |