Individual
JOCELYN CHIA LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
255 N HERWALDT DR, FRESNO, CA 93701-2186
(559) 459-7300
(559) 459-3750
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA51449
CA
363AS0400X
Surgical Physician Assistant
0162631
NY
363AS0400X
Surgical Physician Assistant
Primary
PA51449
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0162631
NY EDUCATION DEPARTMENT
NY
Enumeration date
12/03/2012
Last updated
06/13/2014
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