Lu, Mary Lyn T

Lu, Mary Lyn T is an individual health care provider with primary practice located at 126 Trivette Dr Suite 201, Pikeville KY 41501-1275. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Lu, Mary Lyn T can be contacted via phone (606) 432-0061.

Contact Information

Primary practice address
126 Trivette Dr Suite 201 Pikeville KY 41501-1275
Phone: (606) 432-0061
Fax: (606) 432-0095
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 25642 Kentucky

Profile Details

NPI number 1407844566
LBN Legal business name Lu, Mary Lyn T
Credentials MD, FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 15th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407844566 NPPES
Kentucky MEDICAID 64256423
Kentucky Other 0114191000
Kentucky Other 240005992
Kentucky Other 000000051790
Kentucky Other 1532903

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