Healthcare Provider Details

I. General information

NPI: 1871797217
Provider Name (Legal Business Name): MEI LU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 03/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE S-80 CLEVELAND CLINIC
CLEVELAND OH
44195
US

IV. Provider business mailing address

9500 EUCLID AVE -S-80 CLEVELAND CLINIC
CLEVELAND OH
44195
US

V. Phone/Fax

Practice location:
  • Phone: 216-445-1376
  • Fax: 216-636-2061
Mailing address:
  • Phone: 216-445-1376
  • Fax: 216-636-2061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number35093659
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number35093659
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: