| NPI | 1679761563 |
|---|---|
| Former Legal Business Name | LIEN & LU, M.D'S P.A. |
| Entity Type | Organization |
| Authorized Contact | MELVIN C LU Owner/President 352-596-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME70999) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME70999) |
| 207ND0900X Dermatology, Dermatopathology (Licence: FL ME70999) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME70999) | |
| 363A00000X Physician Assistant (Licence: FL PA2766) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2014-04-28 |