Provider Demographics
NPI:1619922127
Name:HAN, LU (MD,PT,CA)
Entity Type:Individual
Prefix:DR
First Name:LU
Middle Name:
Last Name:HAN
Suffix:
Gender:F
Credentials:MD,PT,CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 CRANBURY RD
Mailing Address - Street 2:SUITE 118
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4000
Mailing Address - Country:US
Mailing Address - Phone:732-390-8866
Mailing Address - Fax:732-390-6550
Practice Address - Street 1:620 CRANBURY RD
Practice Address - Street 2:SUITE 118
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-4000
Practice Address - Country:US
Practice Address - Phone:732-390-8866
Practice Address - Fax:732-390-6550
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJBOARD CERTIFIED M.D.171100000X
NJ25MA07416300208100000X
NJ40QA00715700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ063883 SSDMedicare ID - Type UnspecifiedPHYSICIAN
NJ079314Medicare ID - Type UnspecifiedPHYSICAL THERAPY GROUP #
NJH72958Medicare UPIN