Provider Demographics
NPI:1144713843
Name:YU, LULU (MD, MPHS)
Entity type:Individual
Prefix:DR
First Name:LULU
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:MD, MPHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 BELLEVUE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1856
Mailing Address - Country:US
Mailing Address - Phone:314-617-3500
Mailing Address - Fax:
Practice Address - Street 1:1031 BELLEVUE AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1856
Practice Address - Country:US
Practice Address - Phone:314-617-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018017143207V00000X
IL036159643207V00000X
MO2024025624207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology