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Organization
LPCH MEDICAL GROUP DIV OF LUCILE
Active
Organization
LPCH MEDICAL GROUP DIV OF LUCILE
Active
Other names
Lucile Salter Packard Children's Hospital at Stanford
Organization subpart
No
Provider details
NPI number
Authorized official
DANA JEAN HAERING (CFO)
(650) 721-2222
Entity
Organization
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 498-6762
Mailing address
4700 BOHANNON DR, MC 5530, MENLO PARK, CA 94025-1031
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
282NC2000X
Children's Hospital
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
08/12/2021
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