Organization
LAKE PLEASANT INTERNAL MEDICINE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN FRANCES CHUA MD (MANAGER)
(623) 455-3317
Entity
Organization
Contact information
Practice address
9059 W LAKE PLEASANT PKWY, STE C-320, PEORIA, AZ 85382-8336
(623) 455-3317
(623) 256-6551
Mailing address
9059 W LAKE PLEASANT PKWY, STE C-320, PEORIA, AZ 85382-8336
(623) 455-3317
(623) 256-6551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31697
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
795974
—
AZ
Enumeration date
08/15/2006
Last updated
11/30/2011
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