MARY LYN T LU, MD, FACS PIKEVILLE, KY

Contact Information

MARY LYN T LU, MD, FACS

126 TRIVETTE DR
SUITE 201
PIKEVILLE, KY 41501-1275

Phone: 606-432-0061
Fax: 606-432-0095
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Plastic and Reconstructive Surgery	2086S0122X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for MARY LYN T LU · (Female)

NPI Number	`1407844566`
Status	Active
Credentials	MD, FACS
Entity	Individual
Enumeration date	10/12/2005
Last updated	07/15/2010 - About 16 years ago
Sole proprietor ¹	No
Identifiers	KY License # 25642 KY Medicaid 64256423 KY Other 000000051790 BC/BS KY Other 240005992 R/R MEDICARE KY Other 1532903 UMWA KY Other 0114191000 WV MEDICAID
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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MARY LYN T LU, MD, FACS – NPI #1407844566Plastic and Reconstructive Surgery

Contact Information

Specialty

Plastic and Reconstructive Surgery

NPI Profile & details for MARY LYN T LU · (Female)

Reviews for MARY LYN T LU

MARY LYN T LU, MD, FACS – NPI #1407844566
Plastic and Reconstructive Surgery