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Individual

LUCY SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
710 LAWRENCE EXPY, ONCOLOGY DEPT #440, SANTA CLARA, CA 95051-5173
(408) 851-4323
(408) 851-4319
Mailing address
710 LAWRENCE EXPY, ONCOLOGY DEPT #440, SANTA CLARA, CA 95051-5173
(408) 851-4323
(408) 851-4319

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G83036
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64038599
KY
Enumeration date
06/21/2005
Last updated
07/08/2007
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