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Individual

DR. DENNIS C LU

Active
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Individual

DR. DENNIS C LU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00415370001
BLUE SHIELD OF NORTHEASTE
NY
05
02678724
NY
01
107286
BC UTICA
01
2189111
LICENSE
01
2189117
WC
01
514B31
EMPIRE BLUE CROSS
NY
Enumeration date
10/18/2005
Last updated
03/07/2023
About Stedi
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  • EDI platform