=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033306881
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RUI LU
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/25/2007
-----------------------------------------------------
Last Update Date | 07/20/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 106 IRVING ST NW SUITE 411 SOUTH
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20010-2927
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-877-7080
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 106 IRVING ST NW SUITE 411 SOUTH
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20010-2927
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-877-7080
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWENER
-----------------------------------------------------
Name | DR. RUI LU
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 202-877-7080
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number | MD33677
-----------------------------------------------------
License Number State | DC
-----------------------------------------------------