Individual
RICHARD LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 MEDICAL PKWY STE 600, ANNAPOLIS, MD 21401-3748
(443) 481-5166
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10047144
TX
208600000X
Surgery Physician
Primary
D0085190
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
537003500
—
MD
01
—
693915
MEDICARE
MD
Enumeration date
04/19/2013
Last updated
08/22/2018
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