Provider Demographics
NPI:1114076999
Name:LU, XU (L AC)
Entity Type:Individual
Prefix:MR
First Name:XU
Middle Name:
Last Name:LU
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19138 E WALNUT DR N STE 102
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1432
Mailing Address - Country:US
Mailing Address - Phone:626-839-4789
Mailing Address - Fax:626-839-4789
Practice Address - Street 1:19138 E WALNUT DR N STE 102
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-1432
Practice Address - Country:US
Practice Address - Phone:626-839-4789
Practice Address - Fax:626-839-4789
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA8732171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist