Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036127688 | IL |
N | 207X00000X | Orthopaedic Surgeon | C167204 | CA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | C167204 | CA |
NPI | 1821257148 |
---|---|
Provider Name | Dr. Lan Chen |
First Address | Skokie, IL 60076-1214 |
Second Address | San Francisco, CA 94158-2334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 13/07/2020 |