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Individual

LAN SHU CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
545 BARNHILL DR, EH 125, INDIANAPOLIS, IN 46202-5112
(317) 274-8800
(317) 274-2384
Mailing address
545 BARNHILL DR, EH 125, INDIANAPOLIS, IN 46202-5112
(317) 274-8800
(317) 274-2384

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
01062646A
IN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
A45777
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A457770
CA
01
00A457770 L59
CAL OPTIMA
CA
05
200866370
IN
Enumeration date
10/10/2006
Last updated
09/21/2011
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