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Contact Information

MELVIN C. LU, M.D., LLC
10133 CORTEZ BLVD.
BROOKSVILLE, FL34613-6385
 Phone: 352-596-4401
 Fax: 352-596-4431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MELVIN C LU MD LLC · (Female)

NPI Number 1679761563
Status Active
Credentials
Entity Individual
Enumeration date 10/05/2007
Last updated 04/28/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME70999
  • FL License # PA2766
  • Other 38300 BCBS GROUP NUMBER
  • Other 38300A BCBS GROUP NUMBER
  • Other CI5866 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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