Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Johnny Tan Lu, MD

Individual provider Specialist · NPI 1679863278

Dr. Johnny Tan Lu, MD is a Specialist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12647 Olive Blvd
Saint Louis, MO 63141-6393
Phone: (800) 325-3982
Fax: (877) 685-9866
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0101221438 (VA)

Record details

NPI number1679863278
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 15, 2011
Last updated in NPPESApril 15, 2011

Other providers in Saint Louis