Individual
CHUNG LUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3160 E QUEEN CREEK RD, GILBERT, AZ 85297-8403
(480) 827-5790
Mailing address
3501 E MILKY WAY, GILBERT, AZ 85295-3467
(480) 558-6706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
288328
AZ
Other
Enumeration date
03/01/2023
Last updated
09/16/2024
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