Provider Demographics
NPI:1871989061
Name:CHEN, LUCY XI (MD)
Entity type:Individual
Prefix:DR
First Name:LUCY
Middle Name:XI
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 1:448 VIKING DR STE 100
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7331
Mailing Address - Country:US
Mailing Address - Phone:757-496-5370
Mailing Address - Fax:757-481-3354
Practice Address - Street 1:448 VIKING DR STE 100
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7331
Practice Address - Country:US
Practice Address - Phone:757-496-5370
Practice Address - Fax:757-481-3354
Is Sole Proprietor?:No
Enumeration Date:2015-04-14
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101282475207VE0102X
MDD87134207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD87134OtherLICENSE