Individual
JUN LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2505 W HAMMER LN, STOCKTON, CA 95209-2839
(209) 957-7050
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
35.097786
OH
207K00000X
Allergy & Immunology Physician
Primary
A96524
CA
207K00000X
Allergy & Immunology Physician
MD60024595
WA
207R00000X
Internal Medicine Physician
A96524
CA
207RR0500X
Rheumatology Physician
35.097786
OH
207RR0500X
Rheumatology Physician
MD60024595
WA
Other
Enumeration date
08/21/2007
Last updated
06/27/2012
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