Lancy Lu

Pediatrics Physician · Lodi, CA

Individual Active NPI

NPI number 1114389137

Practice location

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone
(209) 339-7639

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NPI record

NPI
1114389137
Entity type
Individual (Type 1)
Enumeration date
March 29, 2016
Last updated
February 11, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X A153017 CA

Mailing address

2516 Stockton Blvd
Sacramento, CA 95817-2208

Other practice locations (1)

  • 2516 Stockton Blvd, Sacramento, CA 95817-2208 · (916) 734-2428

About Lancy Lu

Lancy Lu is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 975 S Fairmont Ave, Lodi, CA 95240-5118. The NPI number 1114389137 was assigned on March 29, 2016 and the record was last updated on February 11, 2022.

Lancy Lu lists a license in the registry: #A153017 (CA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lancy Lu?

The NPI number is 1114389137.

What is the phone number of Lancy Lu?

The phone number listed for the practice location is (209) 339-7639.

Where is Lancy Lu located?

975 S Fairmont Ave, Lodi, CA 95240-5118.

What is the taxonomy code for Lancy Lu?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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