Kenneth Lu is a General Practice in Stockton, California. Kenneth Lu practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Lu is 1881889392. The last update date is 2007-09-07.
Kenneth Lu's current location address is 702 Porter Ave, Stockton, California. You can contact this provider via phone number 2099566116 and fax number 2099562877. The mailing address for Kenneth Lu is 702 Porter Ave, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Lu |
|---|---|
| Address | 702 Porter Ave, Stockton, California |
| Phone Number | 2099566116 |
| Fax Number | 2099562877 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1881889392 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 702 Porter Ave |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952074297 |
| Phone Number | 2099566116 |
| Fax Number | 2099562877 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 55875 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Kenneth Lu?
The Kenneth Lu has been issued the NPI (National Provider Identifier) 1881889392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Kenneth Lu located?
The Kenneth Lu is located at 702 Porter Ave, Stockton, CA 952074297.
What is the area of specialization for Kenneth Lu, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Lu is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Kenneth Lu receive the assignment of its 1881889392 from the Centers for Medicare & Medicaid Services?
The Kenneth Lu was issued its 1881889392 by the Centers for Medicare & Medicaid Services on 2007-09-07.
When was the information pertaining to Kenneth Lu most recently updated or revised?
The details related to Kenneth Lu, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-07.