Provider Demographics
NPI:1639449069
Name:CAI, LU
Entity Type:Individual
Prefix:DR
First Name:LU
Middle Name:
Last Name:CAI
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 1:6254 97TH PL
Mailing Address - Street 2:APT 7J
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1346
Mailing Address - Country:US
Mailing Address - Phone:917-361-7358
Mailing Address - Fax:
Practice Address - Street 1:8425 ELMHURST AVE
Practice Address - Street 2:UNIT P1
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3359
Practice Address - Country:US
Practice Address - Phone:646-828-6632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-02
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263742207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine