NPI 1174484562
Jacky Lu, PHDDABMM
Practice location
- Address
- 420 Delaware St SE, Minneapolis, MN 55455-0341
- Phone
- (415) 837-3699
- Mailing address
- 22 Rosa Parks Ln, San Francisco, CA 94103-3572
Registered specialties
Microbiology Specialist/Technologist
Primary
Registry record
- NPI
- 1174484562
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Nov 2025
- Record last updated
- 24 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.