Individual
DR. DERRICK LUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1510 PAGE MILL RD, PALO ALTO, CA 94304-1125
(415) 643-3242
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1844
(510) 851-7423
(510) 879-9120
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A107783
CA
Other
Enumeration date
06/18/2008
Last updated
06/30/2016
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