MEDICARE: MICHAEL 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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1154279339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL LU

Provider Business Mailing Address
First Line	:	1090 VERMONT AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20005-4905
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1090 VERMONT AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20005-4905
Country	:	US
Telephone Number	:	847-909-6575
Fax Number	:

Authorized Official
Title or Position	:	PMHNP
Name	:	MICHAEL LU
Credential	:
Telephone Number	:	847-109-6575

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/23/2026

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Directions to “MICHAEL LU ” Practice Location

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