Provider Demographics
NPI:1720295181
Name:CHAN, LAWRENCE HOI YUEN (OD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:HOI YUEN
Last Name:CHAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:15901 SW JENKINS RD
Mailing Address - Street 2:
Mailing Address - City:ALOHA
Mailing Address - State:OR
Mailing Address - Zip Code:97006-5045
Mailing Address - Country:US
Mailing Address - Phone:503-270-4451
Mailing Address - Fax:503-270-4452
Practice Address - Street 1:15901 SW JENKINS RD
Practice Address - Street 2:
Practice Address - City:ALOHA
Practice Address - State:OR
Practice Address - Zip Code:97006-5045
Practice Address - Country:US
Practice Address - Phone:503-270-4451
Practice Address - Fax:503-270-4452
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3114ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist