MEDICARE: LU CHU, PLLC

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	1223G0001X	General Practice Dentistry	DE00010683	WA

General Provider Information

NPI Number	:	1700205978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LU CHU, PLLC

Provider Business Mailing Address
First Line	:	3325 SMOKEY POINT DR STE 204
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-7803
Country	:	US
Telephone Number	:	360-618-0176
Fax Number	:

Provider Business Practice Location Address
First Line	:	3325 SMOKEY POINT DR STE 204
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-7803
Country	:	US
Telephone Number	:	360-618-0176
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	SHUWEN LU
Credential	:
Telephone Number	:	206-850-1807

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	04/15/2014

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