Provider Demographics
NPI:1285435552
Name:LU, CHRISTY (DO)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:LU
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1551 W BAY DR STE 400
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-2209
Mailing Address - Country:US
Mailing Address - Phone:727-588-5704
Mailing Address - Fax:
Practice Address - Street 1:1551 W BAY DR STE 400
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-2209
Practice Address - Country:US
Practice Address - Phone:727-588-5704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program