Individual
DR. JENNIFER LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1965 S FREMONT AVE STE 100, SPRINGFIELD, MO 65804
(417) 820-3800
Mailing address
1965 S FREMONT AVE STE 100, SPRINGFIELD, MO 65804-2299
(417) 820-3800
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
2019020902
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2013
Last updated
08/27/2019
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