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General NPI Number Information
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NPI Number | 1326500646
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Entity Type | Individual
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Provider Name | TRACY LU MD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 7305 S PECOS RD STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89120-3701
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Country | US
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Telephone | 702-485-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4439
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City | HOUSTON
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State | TX
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Zip | 77210-4439
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Country | US
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Telephone | 713-792-2991
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | U3927
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License Number State | TX
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