Dr Lisa H Lu, PHD is a
Clinical Neuropsychologist based in Fort Sam Houston, Texas. Dr Lisa H Lu is licensed to practice in Illinois (license number 071.007360) and her current practice location is
3551 Roger Brooke Dr, Fort Sam Houston, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 539-9582.
NPI number for Dr Lisa H Lu is 1245662154 and her current mailing address is 10730 Potranco Rd # 122-125, San Antonio, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245662154.
Healthcare Provider's Profile
Full Name | Dr Lisa H Lu |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245662154
- Provider Enumeration Date: 08/01/2013
- Last Update Date: 03/08/2022
Medical Identifiers
Medical identifiers for Dr Lisa H Lu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245662154 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 071.007360 (Illinois) | Secondary |
103TA0700X | Psychologist - Adult Development & Aging | 071.007360 (Illinois) | Secondary |
103TC0700X | Psychologist - Clinical | 071.007360 (Illinois) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 071.007360 (Illinois) | Secondary |
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 071.007360 (Illinois) | Secondary |
103TS0200X | Psychologist - School | 071.007360 (Illinois) | Secondary |
103G00000X | Clinical Neuropsychologist | 071.007360 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lisa H Lu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lisa H Lu, PHD 10730 Potranco Rd # 122-125, San Antonio, TX 78251-3327 Ph: () - | Dr Lisa H Lu, PHD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582 |
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