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NPI Code Detail

MEDICARE: MR. CHESTER ALAN LUBRIN FLORES MLS(ASCP)

MEDICARE:  MR. CHESTER ALAN LUBRIN FLORES  MLS(ASCP)
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
1246QM0706XMedical Technologist

General Provider Information

NPI Number : 1831421460
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHESTER ALAN LUBRIN FLORES MLS(ASCP)
Provider Business Mailing Address
First Line : 2305 S GRAHAM ST
Second Line :
City : SEATTLE
State : WA
Zip : 98108-2965
Country : US
Telephone Number : 206-723-7679
Fax Number :
Provider Business Practice Location Address
First Line : 921 TERRY AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-1239
Country : US
Telephone Number : 206-292-6525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2010
Last Update Date : 02/08/2010

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Directions to “ MR. CHESTER ALAN LUBRIN FLORES MLS(ASCP)” Practice Location

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