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Organization

JENNY Q. LU, M.D., PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNY Q LU M.D. (OWNER)
(845) 692-3542
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
214481
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01999279
NY
Enumeration date
08/07/2009
Last updated
07/06/2010
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