Provider Demographics
NPI:1043576226
Name:LIN, LU (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:LU
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 CAMBRIDGE ST,
Mailing Address - Street 2:SUITE 9A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-798-2273
Mailing Address - Fax:713-798-7561
Practice Address - Street 1:7200 CAMBRIDGE ST
Practice Address - Street 2:SUITE 9A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-798-2273
Practice Address - Fax:713-798-7561
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2770282084N0400X, 2084N0600X
TXS86002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology