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NPI Code Detail

MEDICARE: DR. JEFFREY LUE M.D.

MEDICARE: DR. JEFFREY LUE M.D.
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
1207X00000XOrthopaedic Surgery PhysicianA107409CA
2207X00000XOrthopaedic Surgery PhysicianP7152TX
3207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianP7152TX

General Provider Information

NPI Number : 1821224700
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY LUE M.D.
Provider Business Mailing Address
First Line : 963 STATE HIGHWAY 121 STE 1150
Second Line :
City : ALLEN
State : TX
Zip : 75013-6034
Country : US
Telephone Number : 469-322-1400
Fax Number : 469-322-1401
Provider Business Practice Location Address
First Line : 963 STATE HIGHWAY 121 STE 1150
Second Line :
City : ALLEN
State : TX
Zip : 75013-6034
Country : US
Telephone Number : 469-322-1400
Fax Number : 469-322-1401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2009
Last Update Date : 08/25/2025

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Directions to “ DR. JEFFREY LUE M.D.” Practice Location

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