Provider Demographics
NPI:1073166898
Name:LUU, HON (ATEP)
Entity Type:Individual
Prefix:
First Name:HON
Middle Name:
Last Name:LUU
Suffix:
Gender:M
Credentials:ATEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7889 BLUE GRAY CIR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2825
Mailing Address - Country:US
Mailing Address - Phone:571-357-8573
Mailing Address - Fax:
Practice Address - Street 1:7889 BLUE GRAY CIR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2825
Practice Address - Country:US
Practice Address - Phone:571-357-8573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-21
Last Update Date:2019-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer