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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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