MEDICARE: HUNG S LU MD

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	207L00000X	Anesthesiology Physician	26003	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144212614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUNG S LU MD

Provider Business Mailing Address
First Line	:	4710 N 44TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3834
Country	:	US
Telephone Number	:	602-267-8600
Fax Number	:	602-522-1800

Provider Business Practice Location Address
First Line	:	4710 N 44TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3834
Country	:	US
Telephone Number	:	602-267-8600
Fax Number	:	602-522-1800

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	07/08/2007

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Directions to “ HUNG S LU MD” Practice Location

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