Provider Demographics
NPI:1215993118
Name:TSO, PAUL LU (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:LU
Last Name:TSO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 WOODRUFF CIRCLE
Mailing Address - Street 2:ROOM 5105 WMB
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:404-727-9942
Mailing Address - Fax:404-727-3660
Practice Address - Street 1:101 WOODRUFF CIRCLE
Practice Address - Street 2:ROOM 5105 WMB
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-727-9942
Practice Address - Fax:404-727-3660
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA047547204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
31444Medicare ID - Type Unspecified
E69947Medicare UPIN