Organization
LAWRENCE W CHAN M D INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE W. CHAN M.D. (OWNER/PRESIDENT)
(408) 738-0378
Entity
Organization
Contact information
Practice address
990 W FREMONT AVE STE W, SUNNYVALE, CA 94087-3065
(408) 738-0378
(408) 738-0318
Mailing address
990 W FREMONT AVE STE W, SUNNYVALE, CA 94087-3065
(408) 738-0378
(408) 738-0318
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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