Individual provider · Type 1 NPI

Jocelyn Chia Lu, PA

Surgical Physician Assistant · Fresno, CA

NPI number 1609111624 Active

Practice location

255 N Herwaldt Dr
Fresno, CA 93701-2186

Call (559) 459-7300 Map

Fax (559) 459-3750

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X0162631 (NY)
Physician Assistant 363A00000XPA51449 (CA)
Surgical Physician Assistant Primary 363AS0400XPA51449 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1609111624

Jocelyn Chia Lu, PA's National Provider Identifier is 1609111624, issued on Dec 3, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fresno, CA. The record was last updated on Jun 13, 2014.