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General NPI Number Information
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NPI Number | 1356339485
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Entity Type | Individual
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Provider Name | HONGGANG LU M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 39400 PASEO PADRE PKWY
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City | FREMONT
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State | CA
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Zip | 94538-2310
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Country | US
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Telephone | 510-454-6750
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Fax |
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Provider Business Mailing Address
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Address Line | 1715 ATWOOD CIR
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City | NAPERVILLE
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State | IL
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Zip | 60565-6746
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Country | US
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Telephone | 630-548-2159
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 036107243
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | A93109
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License Number State | CA
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