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Individual

DR. STEVEN LU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
365 MONTAUK AVE, RM 4.512, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 444-5114
Mailing address
365 MONTAUK AVE, RM 4.512, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 444-5114

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044392
CT
207R00000X
Internal Medicine Physician
235586
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02666237
CT
Enumeration date
07/08/2005
Last updated
07/08/2007
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