MEDICARE: MR. LOK SHUN (LENNY) CHAN PHARMD

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	1835P1200X	Pharmacotherapy Pharmacist	RPH51948	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	087205	OTHER		SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1902920721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LOK SHUN (LENNY) CHAN PHARMD

Provider Business Mailing Address
First Line	:	2789 25TH ST STE 202
Second Line	:	COMMUNITY HEALTH NETWORK
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-3516
Country	:	US
Telephone Number	:	415-206-2330
Fax Number	:	415-206-2338

Provider Business Practice Location Address
First Line	:	2789 25TH ST STE 202
Second Line	:	COMMUNITY HEALTH NETWORK
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-3516
Country	:	US
Telephone Number	:	415-206-2330
Fax Number	:	415-206-2338

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

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	04/22/2009

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