MEDICARE: JOCELYN LU DMD

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	122300000X	Dentist	DN27161	FL

General Provider Information

NPI Number	:	1518699792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN LU DMD

Provider Business Mailing Address
First Line	:	9535 N CITRUS SPRINGS BLVD
Second Line	:
City	:	CITRUS SPRINGS
State	:	FL
Zip	:	34434-4040
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9535 N CITRUS SPRINGS BLVD
Second Line	:
City	:	CITRUS SPRINGS
State	:	FL
Zip	:	34434-4040
Country	:	US
Telephone Number	:	352-465-3008
Fax Number	:

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

Provider Enumeration Date	:	06/27/2022
Last Update Date	:	10/11/2025

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