DR. POONAM LU D.D.S.
NPI 1063533024
Dentist - General Practice in Stockton, CA

Q: What is Poonam Lu's NPI number?

The NPI number for Poonam Lu is 1063533024. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Q: What is Poonam Lu's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Poonam Lu was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2007

702 PORTER AVE, SUITE I, STOCKTON, CA 95207(209) 956-6116(209) 956-2877 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Poonam Lu D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. POONAM LU D.D.S. (NPI 1063533024) is an individual general practice provider in Stockton, California, licensed in California (46932) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1063533024

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. POONAM LUCredential: D.D.S.

Location Address702 PORTER AVE, SUITE IStockton, CA 95207-4297

Mailing Address702 Porter Ave, Suite IStockton, CA 95207-4297 · (209) 956-6116 · Fax (209) 956-2877

Phone(209) 956-6116

Fax(209) 956-2877

Sole ProprietorNo

Enumeration DateApril 3, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063533024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 46932

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

702 PORTER AVE, Stockton, CA 95207

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Other Identifiers 1

OtherG-98303-01 HFPCA · Healthy Families Hfp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HRI Dental & Vision, Paramount.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH LU D.D.S.

Dentist (General Practice)

702 PORTER AVE, SUITE I
STOCKTON, CA 95207

San Joaquin County (209) 956-6116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poonam Lu's NPI number?

The NPI number for Poonam Lu is 1063533024. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Poonam Lu located?

Poonam Lu practices at 702 Porter Ave Suite I, Stockton, CA 95207. The listed phone number is (209) 956-6116.

What is Poonam Lu's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Poonam Lu accept?

Health plans from HRI Dental & Vision and Paramount list Poonam Lu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Poonam Lu was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.