Individual provider · Type 1 NPI
Bao Tram Deserie Lu, DPM
Foot & Ankle Surgery Podiatrist · Mountain View, CA
NPI number
1649446378
Active
Practice location
701 E El Camino Real
Mountain View, CA 94040-2833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016.005339 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1649446378
Bao Tram Deserie Lu, DPM's National Provider Identifier is 1649446378, issued on May 2, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Mountain View, CA. The record was last updated on Dec 16, 2021.