Individual provider · Type 1 NPI

Llias W. Chung

Student in an Organized Health Care Education/Training Program · Baldwinsville, NY

NPI number 1144950148 Active

Practice location

8282 Willett Pkwy
Baldwinsville, NY 13027-1306

Mailing address

5563 Perth Crse
Clay, NY 13041-6850

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144950148

Llias W. Chung's National Provider Identifier is 1144950148, issued on Jun 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baldwinsville, NY. The record was last updated on Jun 13, 2022.