Individual
MICHELLE LAM CHING-WEN CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1541 FLORIDA AVE STE 200, MODESTO, CA 95350-4438
(209) 577-3388
Mailing address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 279-3227
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A115513
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2009
Last updated
01/10/2022
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