Provider Demographics
NPI:1962669192
Name:ALEC YEN NIEN LUI
Entity Type:Organization
Organization Name:ALEC YEN NIEN LUI
Other - Org Name:ALEC LUI, MD
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEC
Authorized Official - Middle Name:YEN NIEN
Authorized Official - Last Name:LUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-562-6818
Mailing Address - Street 1:275 18TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960
Mailing Address - Country:US
Mailing Address - Phone:772-562-6818
Mailing Address - Fax:772-299-3653
Practice Address - Street 1:275 18TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960
Practice Address - Country:US
Practice Address - Phone:772-562-6818
Practice Address - Fax:772-299-3653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty