Provider Demographics
NPI:1023026937
Name:LU, LEIGHMIN JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:LEIGHMIN
Middle Name:JAMES
Last Name:LU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 8887
Mailing Address - Street 2:9150 ESTATE THOMAS SUITE 105
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801
Mailing Address - Country:US
Mailing Address - Phone:340-774-6947
Mailing Address - Fax:340-777-9522
Practice Address - Street 1:9150 ESTATE THOMAS
Practice Address - Street 2:SUITE 105 VI MEDICAL FOUNDATION BLDG
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00801
Practice Address - Country:US
Practice Address - Phone:340-774-6947
Practice Address - Fax:340-777-9522
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VI2282084P0800X, 2084N0400X, 208M00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Not Answered208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
24343Medicare ID - Type Unspecified
D83359Medicare UPIN