| Dr. Lu Family Medicine Prof. Llc | |
|
2525 N 8th St Ste 104 Grand Junction CO 81501-8808 | |
| (970) 241-1370 | |
| Not Available |
| Full Name | Dr. Lu Family Medicine Prof. Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2525 N 8th St Ste 104, Grand Junction, Colorado |
| Authorized Official Name and Position | Honglan Lu (MD) |
| Authorized Official Contact | 9702411370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Lu Family Medicine Prof. Llc 2525 N 8th St Ste 104 Grand Junction CO 81501-8808 Ph: (970) 241-1370 | Dr. Lu Family Medicine Prof. Llc 2525 N 8th St Ste 104 Grand Junction CO 81501-8808 Ph: (970) 241-1370 |
| NPI Number | 1225288749 |
|---|---|
| Provider Enumeration Date | 09/19/2008 |
| Last Update Date | 03/25/2009 |
| Medicare PECOS PAC ID | 5991862807 |
|---|---|
| Medicare Enrollment ID | O20090320000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225288749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Honglan Lu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437294287 PECOS PAC ID: 4183781099 Enrollment ID: I20090320000191 |
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