person
Dr. Mary Lyn T Lu, MD,FACS
Plastic and Reconstructive Surgery Physician in Pikeville, Kentucky
NPI 1407844566

Mary Lyn T Lu is a Plastic and Reconstructive Surgery Physician based in Pikeville, KY and is specialized in Plastic and Reconstructive Surgery. Mary Lyn T Lu practices in Pikeville, KY and has the professional credentials of MD,FACS. The NPI Number for Mary Lyn T Lu is 1407844566 and holds a License No. 25642 (Kentucky).

The current practice location address for Mary Lyn T Lu is 126 Trivette Dr, Pikeville, KY and can be reached out via phone at 606-432-0061 and via fax at 606-432-0095.

Location: 126 Trivette Dr, Pikeville, KY, 41502-2257
person
Provider Profile Details
NPI Number
1407844566
Provider Name
Mary Lyn T Lu
Credential
MD,FACS
Provider Entity Type
Individual
Gender
Female
Address
126 Trivette Dr, Pikeville, KY, 41502-2257
Phone Number
606-432-0061
Fax Number
606-432-0095
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64256423 05 KY
0114191000 01 KY WV MEDICAID
240005992 01 KY R/R MEDICARE
000000051790 01 KY BC/BS
1532903 01 KY UMWA
institution
Provider Business Practice Location Address Details
Address
126 Trivette Dr
City
State
Zip
41501-1275
Phone Number
606-432-0061
Fax Number
606-432-0095
person
Provider Business Mailing Address Details
Address
126 Trivette Dr
City
State
Zip
41501-1275
Phone Number
606-432-0061
Fax Number
606-432-0095
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
25642 (Kentucky)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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