Provider Demographics
NPI:1619268992
Name:LU, PEI-HSUAN
Entity Type:Individual
Prefix:MISS
First Name:PEI-HSUAN
Middle Name:
Last Name:LU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 S POINT DR
Mailing Address - Street 2:#602
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-3561
Mailing Address - Country:US
Mailing Address - Phone:410-302-5998
Mailing Address - Fax:
Practice Address - Street 1:25 S POINT DR
Practice Address - Street 2:#602
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125-3561
Practice Address - Country:US
Practice Address - Phone:410-302-5998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-21
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program