MEDICARE: DR. HUA ANN JENNY LU MD PHD

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
1	207R00000X	Internal Medicine Physician	224722	MA

General Provider Information

NPI Number	:	1043288749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUA ANN JENNY LU MD PHD

Provider Business Mailing Address
First Line	:	1180 BEACON ST STE 4A
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02446-3806
Country	:	US
Telephone Number	:	617-934-8493
Fax Number	:	617-344-3562

Provider Business Practice Location Address
First Line	:	1180 BEACON ST STE 4A
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02446-3806
Country	:	US
Telephone Number	:	617-934-8493
Fax Number	:	617-344-3562

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	07/24/2025

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