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NPI Code Detail

MEDICARE: CAROL LUU

MEDICARE: CAROL LUU
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
1183500000XPharmacist75351CA

General Provider Information

NPI Number : 1194277376
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL LUU
Provider Business Mailing Address
First Line : 3941 PARK DR
Second Line : STE 20-578
City : EL DORADO HILLS
State : CA
Zip : 95762-4549
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6197 SUNRISE BLVD
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-6834
Country : US
Telephone Number : 916-560-0036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2016
Last Update Date : 11/03/2016

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Directions to “ CAROL LUU ” Practice Location

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