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NPI Code Detail

MEDICARE: DR. LUCAS CHEN MD

MEDICARE: DR. LUCAS CHEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine Physician292612MA

General Provider Information

NPI Number : 1619530623
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUCAS CHEN MD
Provider Business Mailing Address
First Line : 115 LINCOLN ST
Second Line :
City : FRAMINGHAM
State : MA
Zip : 01702-6342
Country : US
Telephone Number : 508-383-1572
Fax Number : 508-872-4794
Provider Business Practice Location Address
First Line : 115 LINCOLN ST
Second Line :
City : FRAMINGHAM
State : MA
Zip : 01702-6342
Country : US
Telephone Number : 508-383-1572
Fax Number : 508-872-4794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2019
Last Update Date : 08/04/2022

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