Provider Demographics
NPI:1477598407
Name:LU, WEI X (MD)
Entity Type:Individual
Prefix:DR
First Name:WEI
Middle Name:X
Last Name:LU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 N EUTAW ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-6304
Mailing Address - Country:US
Mailing Address - Phone:410-383-3464
Mailing Address - Fax:410-383-3468
Practice Address - Street 1:821 N EUTAW ST
Practice Address - Street 2:SUITE 401
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-6304
Practice Address - Country:US
Practice Address - Phone:410-383-3464
Practice Address - Fax:410-383-3468
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD59812174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH97298Medicare UPIN