Individual
LAWRENCE W CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
990 W FREMONT AVE, SUITE W, SUNNYVALE, CA 94087-3021
(408) 738-0378
(408) 738-0318
Mailing address
990 W FREMONT AVE, SUITE W, SUNNYVALE, CA 94087-3021
(408) 738-0378
(408) 738-0318
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A63513
CA
Other
Enumeration date
04/18/2006
Last updated
01/15/2010
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