DR. Lung Kang Tan, D.P.M.

NPI #1205862778 in Saint Joseph, Missouri

Provider Information

NPI Number: 1205862778
Entity Type: Individual
Name: DR. Lung Kang Tan, D.P.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: Jun 24, 2006
Last Updated: Oct 30, 2017

Practice Location

Address: 5202 FARAON ST STE A
City: Saint Joseph
State: Missouri
ZIP Code: 64506-3840
Phone: (816) 271-1067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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