Provider Demographics
NPI:1003455973
Name:MEH, LU SR
Entity Type:Individual
Prefix:
First Name:LU
Middle Name:
Last Name:MEH
Suffix:SR
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1544 11TH ST APT 504
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-3798
Mailing Address - Country:US
Mailing Address - Phone:970-702-6204
Mailing Address - Fax:
Practice Address - Street 1:1544 11TH ST APT 504
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-3798
Practice Address - Country:US
Practice Address - Phone:970-702-6204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-24
Last Update Date:2019-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator