Provider Demographics
NPI:1083846208
Name:LUU, CARRIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:
Last Name:LUU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1008 S. SPRING AVE
Mailing Address - Street 2:SLU ACADEMIC PAVILION/GENERAL SURGERY
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:314-977-3530
Mailing Address - Fax:314-977-1630
Practice Address - Street 1:3655 VISTA AVE
Practice Address - Street 2:SURGERY, 1ST FLOOR
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-977-4440
Practice Address - Fax:149-771-6303
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2021-02-02
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2017016674208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery