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Individual

DR. LISA H LU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
10730 POTRANCO RD # 122-125, SAN ANTONIO, TX 78251-3327

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071.007360
IL
103T00000X
Psychologist
071.007360
IL
103TA0700X
Adult Development & Aging Psychologist
071.007360
IL
103TC0700X
Clinical Psychologist
071.007360
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071.007360
IL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
071.007360
IL
103TS0200X
School Psychologist
071.007360
IL

Other

Enumeration date
08/01/2013
Last updated
03/08/2022
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