Provider Demographics
NPI:1598179202
Name:LU, STEVEN (DO)
Entity type:Individual
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First Name:STEVEN
Middle Name:
Last Name:LU
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Gender:M
Credentials:DO
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Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DRIVE
Mailing Address - Street 2:STE J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:19000 ST. JOE'S PARKWAY
Practice Address - Street 2:STE 320
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152
Practice Address - Country:US
Practice Address - Phone:734-712-8150
Practice Address - Fax:734-887-8939
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2024-11-06
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Provider Licenses
StateLicense IDTaxonomies
MI5101025231208C00000X
MI5101021368390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery