Individual
JESSICA LAHN CHIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-6345
(602) 933-8975
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
(602) 933-1815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
65466
AZ
2080N0001X
Neonatal-Perinatal Medicine Physician
036.142299
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
65466
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120627
—
AZ
Enumeration date
03/26/2014
Last updated
04/28/2022
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