Individual
DR. MELVIN CHIA-HUNG LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10133 CORTEZ BLVD, WEEKI WACHEE, FL 34613-6385
(352) 596-4401
(352) 596-4431
Mailing address
10133 CORTEZ BLVD, WEEKI WACHEE, FL 34613-6385
(352) 596-4401
(352) 596-4431
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME 70999
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME 70999
FL
207ND0900X
Dermatopathology Physician
ME 70999
FL
207NS0135X
Procedural Dermatology Physician
ME 70999
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070012943
MEDICARE RAILROAD
—
01
—
31381
BCBS PROVIDER NUMBER
—
01
—
38300
BCBS GROUP NUMBER
—
01
—
38300A
BCBS GROUP NUMBER
—
01
—
CI5866
MEDICARE RAILROAD GRP #
—
Enumeration date
02/02/2007
Last updated
01/21/2008
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