MEDICARE: PAUL LUU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	MD000032942	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124100672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL LUU MD

Provider Business Mailing Address
First Line	:	5420 RAINIER AVE SOUTH
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-2439
Country	:	US
Telephone Number	:	206-723-2889
Fax Number	:	206-723-4939

Provider Business Practice Location Address
First Line	:	5420 RAINIER AVE SOUTH
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-2439
Country	:	US
Telephone Number	:	206-723-2889
Fax Number	:	206-723-4939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	10/09/2009

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Directions to “ PAUL LUU MD” Practice Location

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