Individual
LUCAS IP CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(408) 806-0892
Mailing address
970 SWEET AVE, SAN JOSE, CA 95129-2342
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
79048
CA
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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