1. Home
  2. Directory
  3. California
  4. Lodi
  5. Pediatrics
  6. NPI Profile

LANCY LU
NPI 1114389137
Pediatrics in Lodi, CA

Active since March 29, 2016PECOS Enrolled
975 S FAIRMONT AVE, LODI, CA 95240(209) 339-7639 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2022, Mar 29, 2016 (2 updates tracked since 2016).

About Lancy Lu NPPES

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

LANCY LU (NPI 1114389137) is an individual pediatrics provider in Lodi, California, licensed in California (A153017) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1114389137
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLANCY LU
Location Address975 S FAIRMONT AVELodi, CA 95240-5118
Mailing Address2516 Stockton BlvdSacramento, CA 95817-2208
Phone(209) 339-7639
Sole ProprietorYes
Enumeration DateMarch 29, 2016
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
✔ NPI 1114389137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A153017
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
975 S FAIRMONT AVE, Lodi, CA 95240
Open in Google Maps ↗

Secondary Practice Location 1

Location 12516 Stockton BlvdSacramento, CA 95817-2208 · Phone (916) 734-2428

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lancy Lu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

TERI SPRING RD
Dietitian, Registered
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC
Pathology (Anatomic Pathology & Clinical Pathology)
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (916) 447-6267
DR. KEVIN EARL RABEY M.D.
Emergency Medicine
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
ARIANNA BUSH
Physician Assistant
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
LODI MEMORIAL HOSPTIAL PHARMACY WEST
Pharmacy (Clinic Pharmacy)
975 S FAIRMONT AVE, 2415 W VINE #104
LODI, CA 95240
San Joaquin County (209) 334-3411
MRS. KRISTINA FORTES FNP, MSN, RN
Nurse Practitioner (Family)
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
ADAM JOSEPH WOODYARD DO
Radiology (Diagnostic Radiology)
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
DR. HAELI PARK MD
Pediatrics
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 339-7639

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 Lancy Lu's NPI number?

The NPI number for Lancy Lu is 1114389137. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Lancy Lu located?

Lancy Lu practices at 975 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 339-7639.

What is Lancy Lu's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lancy Lu enrolled in Medicare?

Yes. Lancy Lu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lancy Lu was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.