Individual
DR. LULU FANG SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
788 OAKLEAF WAY, ALTOONA, WI 54720-2265
(714) 834-8414
Mailing address
788 OAKLEAF WAY, ALTOONA, WI 54720-2265
(714) 834-8414
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
1002540-15
WI
1223G0001X
General Practice Dentistry
29211
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RES-30544
IA
Other
Enumeration date
08/01/2013
Last updated
12/02/2024
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