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NPI Code Detail

MEDICARE: ALICE LUU DO

MEDICARE:   ALICE  LUU  DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramSL1891NV
2207R00000XInternal Medicine Physician5101029042MI
3390200000XStudent in an Organized Health Care Education/Training Program5151017577MI

General Provider Information

NPI Number : 1932831955
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE LUU DO
Provider Business Mailing Address
First Line : 2900 COLLINS RD
Second Line :
City : LANSING
State : MI
Zip : 48910-8394
Country : US
Telephone Number : 517-975-6000
Fax Number :
Provider Business Practice Location Address
First Line : 2900 COLLINS RD
Second Line :
City : LANSING
State : MI
Zip : 48910-8394
Country : US
Telephone Number : 517-975-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2022
Last Update Date : 02/10/2026

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Directions to “ ALICE LUU DO” Practice Location

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