MEDICARE: YA-CHING 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	56591	CA

General Provider Information

NPI Number	:	1649737446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YA-CHING LU

Provider Business Mailing Address
First Line	:	5641 NEWFIELDS LN
Second Line	:
City	:	DUBLIN
State	:	CA
Zip	:	94568-8783
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 SAN RAMON VALLEY BLVD
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-4022
Country	:	US
Telephone Number	:	925-820-3222
Fax Number	:

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

Provider Enumeration Date	:	02/27/2019
Last Update Date	:	02/27/2019

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Directions to “ YA-CHING LU ” Practice Location

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