Lu, Johnny

Lu, Johnny is an individual health care provider with primary practice located at 299 Washington Ave Ste Ll , Hamden CT 06518-3039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lu, Johnny can be contacted via phone (203) 288-4288.

Contact Information

Primary practice address
299 Washington Ave Ste Ll Hamden CT 06518-3039
Fax: (855) 414-4010
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 116257874 Tennessee

Profile Details

NPI number 1275776528
LBN Legal business name Lu, Johnny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2009
Last updated May 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275776528 NPPES
Connecticut MEDICAID 8059293

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