Individual
DR. JOHNNY LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
299 WASHINGTON AVE STE LL, HAMDEN, CT 06518-3039
(203) 288-4288
(855) 414-4010
Mailing address
299 WASHINGTON AVE, HAMDEN, CT 06518-3026
(203) 288-4288
(203) 288-1566
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
116257874
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8059293
—
CT
Enumeration date
04/16/2009
Last updated
05/03/2021
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