Individual
STEPHEN LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1991 MARCUS AVE, SUITE 102, NEW HYDE PARK, NY 11042-2057
(516) 497-7900
Mailing address
3555 W 13 MILE RD STE N120, ROYAL OAK, MI 48073-6710
(248) 551-1550
(248) 551-8190
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301117242
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2013
Last updated
01/29/2021
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