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NPI Code Detail

MEDICARE: ALAN MICHAEL LU APRN, CRNA

MEDICARE:   ALAN MICHAEL LU  APRN, CRNA
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
1163WC0200XCritical Care Medicine Registered Nurse0001278023VA
2367500000XCertified Registered Nurse Anesthetist209032833IL

General Provider Information

NPI Number : 1982401444
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN MICHAEL LU APRN, CRNA
Provider Business Mailing Address
First Line : 251 E HURON ST STE 5-704
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2908
Country : US
Telephone Number : 312-695-5395
Fax Number : 312-695-9013
Provider Business Practice Location Address
First Line : 251 E HURON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2908
Country : US
Telephone Number : 312-926-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2025
Last Update Date : 12/10/2025

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Directions to “ ALAN MICHAEL LU APRN, CRNA” Practice Location

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