Organization
DAVID B LU MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LU MD (PRESIDNET)
(949) 588-2190
Entity
Organization
Contact information
Practice address
301 VICTORIA ST, COSTA MESA, CA 92627-1995
(949) 642-2734
(949) 574-3318
Mailing address
5 HOLLAND, IRVINE, CA 92618-2566
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G77795
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G777950
—
CA
Enumeration date
07/11/2007
Last updated
10/25/2007
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