Provider Demographics
NPI:1659434546
Name:LU, ARTHUR C (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:C
Last Name:LU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14571 MAGNOLIA ST
Mailing Address - Street 2:#205
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5576
Mailing Address - Country:US
Mailing Address - Phone:714-894-4599
Mailing Address - Fax:714-897-7367
Practice Address - Street 1:14571 MAGNOLIA ST
Practice Address - Street 2:#205
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5576
Practice Address - Country:US
Practice Address - Phone:714-894-4599
Practice Address - Fax:714-897-7367
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG52793207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G527930Medicaid
CAG52793Medicare ID - Type Unspecified
CA00G527930Medicaid