Provider Demographics
NPI:1992264709
Name:LU, DEBORAH DEE (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:DEE
Last Name:LU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1850 S AZUSA AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-6854
Mailing Address - Country:US
Mailing Address - Phone:626-913-2055
Mailing Address - Fax:626-913-2085
Practice Address - Street 1:1850 S AZUSA AVE STE 306
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-6854
Practice Address - Country:US
Practice Address - Phone:626-913-2055
Practice Address - Fax:626-913-2085
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA179848207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology