MEDICARE: DR. LUCI M CHEN M.D.

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
1	2085R0001X	Radiation Oncology Physician	27725	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235103839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUCI M CHEN M.D.

Provider Business Mailing Address
First Line	:	10460 N 92ND ST
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4549
Country	:	US
Telephone Number	:	480-922-4600
Fax Number	:	480-922-5231

Provider Business Practice Location Address
First Line	:	10460 N 92ND ST STE 101
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4547
Country	:	US
Telephone Number	:	480-922-4600
Fax Number	:	480-922-5231

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	05/08/2019

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Directions to “ DR. LUCI M CHEN M.D.” Practice Location

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