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NPI Code Detail

MEDICARE: DR. JOHN TUAN LU M.D.

MEDICARE:  DR. JOHN TUAN LU  M.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
1207L00000XAnesthesiology Physician40727GA

Other Identifiers

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

General Provider Information

NPI Number : 1275581696
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN TUAN LU M.D.
Provider Business Mailing Address
First Line : 128 MAPLEWOOD DR
Second Line :
City : GRIFFIN
State : GA
Zip : 30224-7435
Country : US
Telephone Number : 770-467-4659
Fax Number :
Provider Business Practice Location Address
First Line : 601 S 8TH ST
Second Line :
City : GRIFFIN
State : GA
Zip : 30224-4213
Country : US
Telephone Number : 770-228-2721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 12/31/2021

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Directions to “ DR. JOHN TUAN LU M.D.” Practice Location

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