| NPI | 1639720105 |
|---|---|
| Doing Business As | REMEDICUS |
| Doing Business As | PROMED |
| Entity Type | Organization |
| Authorized Contact | ELIAS LU Manager 888-354-2758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |