Individual
DR. CYNTHIA CHEN-CHIA LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO, MPH
Contact information
Practice address
847 W CHILDS AVE, MERCED, CA 95341-6862
(209) 383-1643
Mailing address
24946 COURT ST, LOMA LINDA, CA 92354-1804
(909) 677-7953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP1-0023120
TX
208D00000X
General Practice Physician
Primary
20A 10956
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3805159058
MYUTMB 3805159058-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
03/13/2013
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