Provider Demographics
NPI:1710196910
Name:LU, NU T (MD)
Entity Type:Individual
Prefix:
First Name:NU
Middle Name:T
Last Name:LU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:23929 MCBEAN PKWY
Mailing Address - Street 2:#215
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4466
Mailing Address - Country:US
Mailing Address - Phone:661-255-5350
Mailing Address - Fax:666-255-9907
Practice Address - Street 1:23929 MCBEAN PKWY
Practice Address - Street 2:215
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4466
Practice Address - Country:US
Practice Address - Phone:310-661-2555
Practice Address - Fax:661-255-9907
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2011-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA99720207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
BP2-0023689OtherINSTITUTIONAL PERMIT
CA1740429885Medicaid
BP2-0023689OtherINSTITUTIONAL PERMIT