Individual
JEFFREY KENNETH LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SOM-3C444 UNIV UTAH DEPT ANESTHESIOLOGY, 30 NORTH 1900 EAST, SALT LAKE CITY, UT 84132-0001
(801) 581-6393
Mailing address
PO BOX 413034, SALT LAKE CITY, UT 84141-3034
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
178632-1205
UT
207LP3000X
Pediatric Anesthesiology Physician
Primary
178632-1205
UT
Other
Enumeration date
10/13/2006
Last updated
05/05/2022
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