Raymond Lu
Dentist in Shreveport, LA. Individual provider (NPI-1).
NPI number1104560366
StatusActive
Last updated in NPPESNov 9, 2025
Details
- NPI
- 1104560366
- Entity type
- Individual (NPI-1)
- Name
- Raymond Lu
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2022
- Certification date
- Nov 9, 2025
- Last updated
- Nov 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 7581 | LA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1501 Kings HwyShreveport, LA 71103-4228
Phone 318-626-0547
Mailing address
1501 Kings HwyShreveport, LA 71103-4228
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All 60 Dentist providers in Shreveport · All 11,081 providers in Shreveport
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