Individual
DR. LAWRENCE CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
555 KNOWLES DR STE 117, LOS GATOS, CA 95032-1542
(408) 292-8800
(408) 292-8809
Mailing address
555 KNOWLES DR STE 117, LOS GATOS, CA 95032-1542
(408) 292-8800
(408) 292-8809
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5849
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E5849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E5849
THE PODIATRIC MEDICAL BOARD OF CALIFORNIA
CA
01
—
XDP046M87616
ANTHEM BLUE CROSS
—
Enumeration date
06/23/2018
Last updated
06/08/2022
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