Individual
LAWRENCE CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(602) 505-4479
(602) 879-1876
Mailing address
3655 W ANTHEM WAY, SUITE A-109; PMB 313, ANTHEM, AZ 85086-0430
(602) 505-4479
(602) 879-1876
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31669
AZ
208M00000X
Hospitalist Physician
31669
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
796443
—
AZ
Enumeration date
03/17/2006
Last updated
09/16/2010
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