Provider Demographics
NPI:1730717984
Name:LU, ALICE YUXI (MD)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:YUXI
Last Name:LU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:125 NEWBURY STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701
Mailing Address - Country:US
Mailing Address - Phone:508-879-5764
Mailing Address - Fax:508-820-0864
Practice Address - Street 1:125 NEWBURY STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701
Practice Address - Country:US
Practice Address - Phone:508-879-5764
Practice Address - Fax:508-820-0864
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2024-07-29
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Provider Licenses
StateLicense IDTaxonomies
MA1013810208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110163687AMedicaid