Healthcare Provider Details

I. General information

NPI: 1528691698
Provider Name (Legal Business Name): LU DING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2020
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 ELKTON DR STE 102
COLORADO SPRINGS CO
80907-3597
US

IV. Provider business mailing address

9520 ANTORA GRV APT 316
COLORADO SPRINGS CO
80924-8730
US

V. Phone/Fax

Practice location:
  • Phone: 347-433-7810
  • Fax:
Mailing address:
  • Phone: 347-433-7810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: