| NPI | 1538417795 |
|---|---|
| Other Name | DIANA LYU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN D13892) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH RES.3257) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN R570) | |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2022-11-07 |