Lancy Lu, | |
975 S Fairmont Ave, Lodi, CA 95240-5118 | |
(209) 339-7639 | |
Not Available |
Full Name | Lancy Lu |
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Gender | Female |
Speciality | Pediatrics |
Location | 975 S Fairmont Ave, Lodi, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1114389137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A153017 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Regents Of The Univ Of Ca |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
Mailing Address | Practice Location Address |
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Lancy Lu, 2516 Stockton Blvd, Sacramento, CA 95817-2208 Ph: () - | Lancy Lu, 975 S Fairmont Ave, Lodi, CA 95240-5118 Ph: (209) 339-7639 |
Dr. Marietta Abellera Sumaquial, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd, Suite 450, Lodi, CA 95242 Phone: 209-370-1700 | |
Arvinder Kaur Thiara, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1300 W Lodi Ave, Suite P, Lodi, CA 95242 Phone: 209-366-1990 Fax: 209-473-9256 | |
Dr. Haeli Park, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-339-7639 | |
Dr. Roy Anunciacion, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1920 Tienda Dr, Ste 102, Lodi, CA 95242 Phone: 209-368-8310 | |
Dr. Rosemary Nunez-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1901 W Kettleman Ln Ste 200, Lodi, CA 95242 Phone: 209-334-8540 | |
Abelardo Verceles Mayo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1300 W Lodi Ave, Suite P, Lodi, CA 95242 Phone: 209-369-7493 |