Jacky Lu, PHD, D(ABMM)

Primary specialty

Microbiology Specialist/TechnologistTaxonomy code 246QM0900X

Practice address

420 Delaware St SE
Minneapolis, MN 55455-0341

Phone

(415) 837-3699

NPI assigned

Nov 24, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1174484562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ROSA PARKS LN",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341",
            "telephone_number": "415-837-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "JACKY",
        "credential": "PHD, D(ABMM)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Microbiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cheng Lu, DDS
• Jinci Lu
• Kitty Lu
• Melisa Lu, PHARMD
• Triet Minh Lu
• Yun Lu, PHARMD

• Pathology Specialist/Technologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Pathology Specialist/Technologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.