Individual
DR. CHARLIE CHENGGANG LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4159
(585) 922-3731
Mailing address
796 PENFIELD RD, ROCHESTER, NY 14625-2152
(917) 327-5612
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
278202
NY
Other
Enumeration date
03/26/2011
Last updated
01/23/2025
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