Provider Demographics
NPI:1710646484
Name:LU, ANNIE (RD, LDN)
Entity Type:Individual
Prefix:MS
First Name:ANNIE
Middle Name:
Last Name:LU
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 WHITE DOGWOOD RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-9043
Mailing Address - Country:US
Mailing Address - Phone:646-339-2248
Mailing Address - Fax:
Practice Address - Street 1:4208 SIX FORKS RD STE 1700
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5734
Practice Address - Country:US
Practice Address - Phone:980-296-0044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management