JOHNNY TAN LU

SAINT LOUIS, MO
NPI1679863278
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: VA  0101221438)
Enumeration Date2011-04-15
Last Update Date2011-04-15
Business Address
Dr. JOHNNY TAN LU M.D.
12647 OLIVE BLVD
SAINT LOUIS, MO 63141-6393
Phone number: 800-325-3982
Mailing Address
Dr. JOHNNY TAN LU M.D.
12647 OLIVE BLVD
SAINT LOUIS, MO 63141-6393
Phone number: 800-325-3982
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