Most Relevant Information
Provider Data
| NPI Number: | 1003443888 |
| Provider Name: | VICTOR M. LU MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2020 |
| Last Updated: | 03/24/2020 |
Provider Practice Location
1611 NW 12TH AVE
MIAMI
FL
331361005
Practice Location Phone/Fax
| Phone: | 3052436751 |
| Fax: |
Provider Mailing Location
722 CENTER ST W APT 200
ROCHESTER
MN
559026408
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |