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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, M.D., LLC

NPI # 1679761563
LBN Legal business name MELVIN C. LU, M.D., LLC
Authorized official MELVIN LU - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2007
Last updated 04/28/2014 - About 12 years ago
Identifiers
FL License # ME70999
FL License # PA2766
Other 38300 BCBS GROUP NUMBER
Other 38300A BCBS GROUP NUMBER
Other CI5866 MEDICARE RAILROAD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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