Individual
PETER LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
48371 FREMONT BLVD STE 101, FREMONT, CA 94538-6554
(650) 793-3686
Mailing address
PO BOX 119, PALO ALTO, CA 94302-0119
(650) 793-3686
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G68862
CA
Other
Enumeration date
01/02/2019
Last updated
05/27/2022
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