Most Relevant Information
Provider Data
| NPI Number: | 1003424334 |
| Provider Name: | LUCHAN BAKER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/22/2020 |
| Last Updated: | 06/07/2023 |
Provider Practice Location
24301 SOUTHLAND DR STE 600
HAYWARD
CA
945451554
Practice Location Phone/Fax
| Phone: | 5107731138 |
| Fax: |
Provider Mailing Location
24301 SOUTHLAND DR STE 600
HAYWARD
CA
945451554
Provider Mailing Phone/Fax
| Phone: | 5107731138 |
| Fax: |