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General NPI Number Information
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NPI Number | 1568496172
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Entity Type | Individual
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Provider Name | ELIZABETH T LU DPM
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 600 US HIGHWAY 51 BYP E
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City | DYERSBURG
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State | TN
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Zip | 38024-2079
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Country | US
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Telephone | 731-287-3130
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Fax | 731-287-3818
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Provider Business Mailing Address
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Address Line | 600 US HIGHWAY 51 BYP E
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City | DYERSBURG
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State | TN
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Zip | 38024-2079
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Country | US
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Telephone | 731-287-3130
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Fax | 731-287-3818
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | DPM0000000658
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License Number State | TN
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