Most Relevant Information
Provider Data
| NPI Number: | 1003470725 |
| Provider Name: | SISI LU |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/29/2019 |
| Last Updated: | 06/25/2024 |
Provider Practice Location
9500 EUCLID AVE
CLEVELAND
OH
441952902
Practice Location Phone/Fax
| Phone: | 2164442200 |
| Fax: |
Provider Mailing Location
128 E APPLE ST STE 7000
DAYTON
OH
454092902
Provider Mailing Phone/Fax
| Phone: | 9372084953 |
| Fax: |