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Individual

DR. JAMES J LU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12266 DE PAUL DR STE 100, BRIDGETON, MO 63044-2541
(314) 738-2770
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
110667
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00160397
RAILROAD MEDICARE
MO
Enumeration date
02/13/2006
Last updated
11/19/2020
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