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NPI Code Detail

MEDICARE: DR. LESTER CHAOWEN PAN M.D.

MEDICARE:  DR. LESTER CHAOWEN PAN  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
1207R00000XInternal Medicine PhysicianA055280CA

General Provider Information

NPI Number : 1598790826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESTER CHAOWEN PAN M.D.
Provider Business Mailing Address
First Line : 1740 FRUITRIDGE RD
Second Line : SUITE 101
City : SACRAMENTO
State : CA
Zip : 95822-3037
Country : US
Telephone Number : 916-391-7200
Fax Number : 916-391-7772
Provider Business Practice Location Address
First Line : 1740 FRUITRIDGE RD
Second Line : SUITE 101
City : SACRAMENTO
State : CA
Zip : 95822-3037
Country : US
Telephone Number : 916-391-7200
Fax Number : 916-391-7772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LESTER CHAOWEN PAN M.D.” Practice Location

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