Provider Demographics
NPI:1669848677
Name:LU, FANG-LING (PHD)
Entity Type:Individual
Prefix:DR
First Name:FANG-LING
Middle Name:
Last Name:LU
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 W SYCAMORE ST
Mailing Address - Street 2:UNIVERSITY OF NORTH TEXAS
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-4049
Mailing Address - Country:US
Mailing Address - Phone:940-369-7367
Mailing Address - Fax:940-565-4058
Practice Address - Street 1:907 W SYCAMORE ST
Practice Address - Street 2:UNIVERSITY OF NORTH TEXAS
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4049
Practice Address - Country:US
Practice Address - Phone:940-369-7367
Practice Address - Fax:940-565-4058
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17513235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist