MEDICARE: DAVID LU

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	171100000X	Acupuncturist	1068	MN

General Provider Information

NPI Number	:	1306901921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID LU

Provider Business Mailing Address
First Line	:	1023 MOORE LAKE DR E
Second Line	:
City	:	FRIDLEY
State	:	MN
Zip	:	55432-5153
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1023 MOORE LAKE DR E
Second Line	:
City	:	FRIDLEY
State	:	MN
Zip	:	55432-5153
Country	:	US
Telephone Number	:	763-586-6045
Fax Number	:

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

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	07/08/2007

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Directions to “ DAVID LU ” Practice Location

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