Doctor Name: | JENNY LU |
NPI Number: | 1922328111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 0116022429 |
Business Practice Address: | 320 W Pueblo St Diagnostic Radiology Santa Barbara, CA - 931054311 |
Business Phone Number: | 8055697573 |
Business Fax Number: | 8055698279 |
Mailing Address: | Po Box 689, Diagnostic Radiology SANTA BARBARA |
State: | CA |
Postal Code: | 931020689 |
Phone Number: | 8055697573 |
Fax Number: | 8055698279 |
NPI Enumeration Date: | 06/10/2010 |
NPI Last Update Date: | 06/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116022429 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |