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NPI Code Detail

MEDICARE: HUNG LU O.D.

MEDICARE: HUNG LU O.D.
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
1152W00000XOptometristOE-007833-TPA

General Provider Information

NPI Number : 1134208432
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUNG LU O.D.
Provider Business Mailing Address
First Line : 1400 BARTON DR
Second Line :
City : FORT WASHINGTON
State : PA
Zip : 19034-2820
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 VETERANS WAY
Second Line :
City : WARMINSTER
State : PA
Zip : 18974-3533
Country : US
Telephone Number : 215-347-1965
Fax Number : 215-347-1964
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 10/31/2018

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