| NPI | 1912202516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH T LU Owner/President 731-287-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: TN 0000000658) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |