Individual
LUN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7505 OSLER DR, SUITE 104, TOWSON, MD 21204-7736
(410) 337-8888
(410) 823-4833
Mailing address
7505 OSLER DR, SUITE 104, TOWSON, MD 21204-7736
(410) 337-8888
(410) 823-4833
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0004060
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0004060
BOARD OF PHYSICIANS LICENSE
MD
Enumeration date
09/22/2009
Last updated
11/13/2013
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