Provider Demographics
NPI:1255954194
Name:LU, LEI
Entity type:Individual
Prefix:DR
First Name:LEI
Middle Name:
Last Name:LU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 OVERLOOK RD STE B
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3319
Mailing Address - Country:US
Mailing Address - Phone:828-483-4438
Mailing Address - Fax:828-483-5808
Practice Address - Street 1:310 OVERLOOK RD STE B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3319
Practice Address - Country:US
Practice Address - Phone:828-483-4438
Practice Address - Fax:828-483-5808
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL840682084N0400X
NC2025-008532084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology