Provider Demographics
NPI:1568672327
Name:LUE, WILLIAM W JR (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:W
Last Name:LUE
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:725 WATSON CANYON CT APT 314
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-4996
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6543 REGIONAL ST STE C
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2945
Practice Address - Country:US
Practice Address - Phone:925-829-8700
Practice Address - Fax:925-829-8100
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CADC29685111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor