Provider Demographics
NPI:1669454435
Name:CHEN, LUCY (MD)
Entity Type:Individual
Prefix:DR
First Name:LUCY
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-8810
Mailing Address - Fax:617-726-3441
Practice Address - Street 1:55 FRUIT STREET
Practice Address - Street 2:CLN 3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-8810
Practice Address - Fax:617-726-3632
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA159557207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3207692Medicaid
MA159557OtherTUFTS HEALTH PLAN
MAJ22215OtherBCBS MA
MAJ22215OtherBCBS MA
MA159557OtherTUFTS HEALTH PLAN