Healthcare Provider Details

I. General information

NPI: 1215924840
Provider Name (Legal Business Name): LAURIE L CHEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LI JUN LIU

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2070 W RUDASILL RD STE 130
TUCSON AZ
85704-7891
US

IV. Provider business mailing address

PO BOX 910221
DALLAS TX
75391-0221
US

V. Phone/Fax

Practice location:
  • Phone: 520-420-2520
  • Fax: 520-420-2522
Mailing address:
  • Phone: 520-519-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number32642
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: