Provider Demographics
NPI:1902920721
Name:CHAN, LOK SHUN (LENNY) (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:LOK SHUN (LENNY)
Middle Name:
Last Name:CHAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2789 25TH ST STE 202
Mailing Address - Street 2:COMMUNITY HEALTH NETWORK
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3516
Mailing Address - Country:US
Mailing Address - Phone:415-206-2330
Mailing Address - Fax:415-206-2338
Practice Address - Street 1:2789 25TH ST STE 202
Practice Address - Street 2:COMMUNITY HEALTH NETWORK
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3516
Practice Address - Country:US
Practice Address - Phone:415-206-2330
Practice Address - Fax:415-206-2338
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH519481835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
087205OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER