Individual provider · Type 1 NPI

Kimberly W. Lu

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1780487702 Active

Practice location

1320 Stony Brook Rd Bldg F
Stony Brook, NY 11790-2206

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780487702

Kimberly W. Lu's National Provider Identifier is 1780487702, issued on Mar 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on May 12, 2026.