Provider Demographics
NPI:1033155163
Name:LUI, ERIC (DPM)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:LUI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 SEYMOUR ST
Mailing Address - Street 2:SUITE 409
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-5501
Mailing Address - Country:US
Mailing Address - Phone:860-547-0616
Mailing Address - Fax:860-524-2655
Practice Address - Street 1:85 SEYMOUR ST
Practice Address - Street 2:SUITE 409
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5501
Practice Address - Country:US
Practice Address - Phone:860-547-0616
Practice Address - Fax:860-524-2655
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000806213ES0103X, 213E00000X, 213ER0200X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT06-1406459OtherNORTHEAST HEALTH DIRECT
CT06-1406459OtherCARESYS
CT06-1406459OtherCOMMUNITY HEALTH NETWORK
CT3691706OtherCIGNA
CT7807831OtherAETNA
CT030000806CT04OtherANTHEM BCBS AND BCFP
CT06-1406459OtherPIONEER
CT06-1406459OtherCORVEL
CT1033155163Medicaid
CT06-1406459OtherGREAT WEST HEALTHCARE
CT06-1406459OtherPRIVATE HEALTHCARE SYSTEMS
CT06-1406459OtherFOCUS
CT06-1406459OtherUNITED HEALTHCARE
CT06-1406459OtherMULTIPLAN
CT06-1406459OtherTRICARE
CT100806OtherCONNECTICARE
CT2V9958OtherHEALTH NET
CTP3839391OtherOXFORD
CT1033155163Medicaid