Weiya Douglas Lu, Ph.D.,NP,MSN,RN
Nurse Practitioner, Psych/Mental Health in Pasadena, CA. Individual provider (NPI-1).
NPI number1952856502
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1952856502
- Entity type
- Individual (NPI-1)
- Name
- Weiya Douglas Lu
- Credential
- Ph.D.,NP,MSN,RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2016
- Certification date
- Apr 3, 2024
- Last updated
- Oct 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 95007305 | CA | Yes |
| 163W00000X | Registered Nurse | 95070370 | CA |
Practice location
3280 E Foothill BlvdPasadena, CA 91107-3148
Phone 833-574-2273
Mailing address
18144 Seco StJamestown, CA 95327-9498
Phone 209-984-4820 · Fax 209-984-4825
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