Provider Demographics
NPI:1285687228
Name:LUI, NELSON LAPSHUN (MD)
Entity Type:Individual
Prefix:
First Name:NELSON
Middle Name:LAPSHUN
Last Name:LUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11908 DARNESTOWN RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:N. POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878
Mailing Address - Country:US
Mailing Address - Phone:301-990-1620
Mailing Address - Fax:301-990-8956
Practice Address - Street 1:11908 DARNESTOWN RD
Practice Address - Street 2:SUITE D
Practice Address - City:N. POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878
Practice Address - Country:US
Practice Address - Phone:301-990-1620
Practice Address - Fax:301-990-8956
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0043869207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD136791900Medicaid
MD53058801OtherCAREFIRST BCBS OF MD
DCC4890001OtherCAREFIRST BCBS DC
DC026469500Medicaid
MD53058801OtherCAREFIRST BCBS OF MD
MD136791900Medicaid