MEDICARE: DR. JANE S. LU DMD. MS.

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	23466	TX

General Provider Information

NPI Number	:	1447695051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE S. LU DMD. MS.

Provider Business Mailing Address
First Line	:	5418 HIGHWAY 6
Second Line	:	SUITE 215
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3849
Country	:	US
Telephone Number	:	281-616-7846
Fax Number	:

Provider Business Practice Location Address
First Line	:	5418 HIGHWAY 6
Second Line	:	SUITE 215
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3849
Country	:	US
Telephone Number	:	281-616-7846
Fax Number	:

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

Provider Enumeration Date	:	05/08/2013
Last Update Date	:	05/08/2013

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