Individual
DR. YONGJIAN LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 MAIN ST, SACO, ME 04072-1699
(207) 623-8411
Mailing address
1 VA CTR, AUGUSTA, ME 04330-6795
(207) 623-8411
(207) 286-3709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19595
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2016
Last updated
12/05/2020
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