Provider Demographics
NPI:1417918244
Name:LU, MEIDE (MD)
Entity Type:Individual
Prefix:
First Name:MEIDE
Middle Name:
Last Name:LU
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:PO BOX 16052
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-6052
Mailing Address - Country:US
Mailing Address - Phone:610-374-4404
Mailing Address - Fax:610-374-1396
Practice Address - Street 1:S 6TH AVENUE & SPRUCE STREET
Practice Address - Street 2:N-GROUND TRHMC REGIONAL CANCER CENTER
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611
Practice Address - Country:US
Practice Address - Phone:610-374-4404
Practice Address - Fax:610-374-1396
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD418459207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
20024848OtherAMERIHEALTH MERCY
PA50015478OtherCAPITAL BLUE CROSS
P00002043OtherRAILROAD MEDICARE
PA1463568OtherHIGHMARK BLUE SHIELD
PA0019453830001Medicaid
143477OtherUNISON
PA068384D7GMedicare ID - Type Unspecified
PA1463568OtherHIGHMARK BLUE SHIELD