Provider Demographics
NPI:1003839846
Name:LU, ALLEN P (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:P
Last Name:LU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:18575 GALE AVE STE 278
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1385
Mailing Address - Country:US
Mailing Address - Phone:888-997-2674
Mailing Address - Fax:714-798-2366
Practice Address - Street 1:18575 GALE AVE STE 278
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748-1385
Practice Address - Country:US
Practice Address - Phone:888-997-2674
Practice Address - Fax:714-798-2366
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA82726207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A8272600Medicaid
CAGI839AMedicare PIN