# JENNY Q. LU, M.D., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053542068
- **Authorized official:** JENNY Q LU M.D. (OWNER)
- **Authorized official phone:** (845) 692-3542

## Contact information

- **Practice address:** 75 CRYSTAL RUN RD STE 105, MIDDLETOWN, NY 10941-7003
- **Practice address phone:** (845) 692-3542
- **Practice address fax:** (845) 692-6939
- **Mailing address:** 75 CRYSTAL RUN RD STE 105, MIDDLETOWN, NY 10941-7003
- **Mailing address phone:** (845) 692-3542
- **Mailing address fax:** (845) 692-6939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 214481 | NY | Yes |

## Other

- **Enumeration date:** 08/07/2009
- **Last updated:** 07/06/2010
