Individual
DR. ELIZABETH T LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
600 US HIGHWAY 51 BYP E, DYERSBURG, TN 38024-2079
(731) 287-3130
(731) 287-3818
Mailing address
600 US HIGHWAY 51 BYP E, DYERSBURG, TN 38024-2079
(731) 287-3130
(731) 287-3818
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM0000000658
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6409830001
MEDICARE NSC PTAN #
TN
01
—
6409830002
MEDICARE NSC PTAN#
TN
Enumeration date
07/10/2006
Last updated
09/09/2010
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