Lulu Fang Schaefer, DDS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

RES-30544 Issued in IA

Practice address

788 Oakleaf Way
Altoona, WI 54720-2265

Phone

(714) 834-8414

NPI assigned

Aug 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Lulu Fang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Endodontics, SC

  • Endodontics
  • Altoona, WI
  • NPI 1437971470
  NPD
• Oral and Maxillofacial Surgery Asso of Eau Claire SC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Altoona, WI
  • NPI 1316954928

  Endodontics

  NPD

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1710319744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 OAKLEAF WAY",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202265",
            "telephone_number": "714-834-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 OAKLEAF WAY",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202265",
            "telephone_number": "714-834-8414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Bear Paw Ave",
            "address_purpose": "LOCATION",
            "city": "Rice Lake",
            "state": "WI",
            "postal_code": "548681378",
            "country_code": "US",
            "telephone_number": "715-834-8414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "LULU",
        "middle_name": "FANG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "1002540-15",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29211",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IA",
            "license": "RES-30544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LULU",
            "last_name": "FANG",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward Esther Rosenquist, PA-C
• Traci Rykal
• Sacred Heart Hospital of the Hospital Sisters-3Rd Order of St. Francis
• Kelly Jo Salter, COTA
• Kimberly L Sattler, MS
• Katherine Elaine Schimmel, LMT, CFT, CESMT
• Kristin Schrader, APSW, CLC
• Liana Schreiber, MPH, RDN
• Ingrid Ellen Schroeder, COTA/L
• Autumn Renee Schultz, PTA

• Student in an Organized Health Care Education/Training Program in Altoona, WI
• Providers in Altoona, WI by specialty
• Student in an Organized Health Care Education/Training Program in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.