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NPI Code Detail

MEDICARE: SAIRONG LU

MEDICARE: SAIRONG LU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1033591219
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAIRONG LU
Provider Business Mailing Address
First Line : 39465 PASEO PADRE PKWY STE 2100
Second Line :
City : FREMONT
State : CA
Zip : 94538-1624
Country : US
Telephone Number : 510-759-8652
Fax Number :
Provider Business Practice Location Address
First Line : 39465 PASEO PADRE PKWY STE 2100
Second Line :
City : FREMONT
State : CA
Zip : 94538-1624
Country : US
Telephone Number : 510-745-9151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2015
Last Update Date : 07/09/2016

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Directions to “ SAIRONG LU ” Practice Location

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