MEDICARE: LAVINA 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
1	183500000X	Pharmacist	0202218459	VA
2	183500000X	Pharmacist	27045	MD
3	183500000X	Pharmacist	PH100003659	DC

General Provider Information

NPI Number	:	1124619325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAVINA LU

Provider Business Mailing Address
First Line	:	1701 TRINIDAD AVE NE APT 5
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-7848
Country	:	US
Telephone Number	:	917-299-5803
Fax Number	:

Provider Business Practice Location Address
First Line	:	4303 CONN AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20008-2305
Country	:	US
Telephone Number	:	202-364-8250
Fax Number	:

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

Provider Enumeration Date	:	01/30/2021
Last Update Date	:	01/30/2021

Similar Medicare Providers

1245335074 — DISTRICT OF COLUMBIA CVS PHARMACY LLC
Practice Location Address:

4309 CONNECTICUT AVE NW
WASHINGTON, DC
20008-2305

Practice Phone: 202-966-3023
Practice Fax:

1548882889 — DR. JEREMIAH HICKS PHARM D
Practice Location Address:

4309 CONNECTICUT AVE NW
WASHINGTON, DC
20008-2305

Practice Phone: 202-966-3023
Practice Fax: 202-364-1202

1831788108 — EMILY A SHELTON PHARMD
Practice Location Address:

4309 CONNECTICUT AVE NW
WASHINGTON, DC
20008-2305

Practice Phone: 202-966-3023
Practice Fax:

1871580225 — MARIAN DE STOPPELAAR DMD PC
Practice Location Address:

2305 S E WASHINGTON ST , STE 103
MILWAUKIE, OR
97222-7647

Practice Phone: 503-786-6895
Practice Fax:

1932162880 — MARIA ISABELL FOY FNP
Practice Location Address:

2305 SE WASHINGTON ST
MILWAUKIE, OR
97222-7647

Practice Phone: 503-657-1255
Practice Fax: 503-657-1061

1073552873 — DR. DENNIS MICHAEL SULLIVAN D.C.
Practice Location Address:

2305 SE WASHINGTON ST , SUITE 109
MILWAUKIE, OR
97222-7647

Practice Phone: 503-659-0064
Practice Fax: 503-659-0445

Directions to “ LAVINA LU ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.