L Tan, M.D.

NPI #1235132762 in Marianna, Florida

Provider Information

NPI Number
1235132762
Entity Type
Individual
Name
L Tan, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Urology
Credential
M.D.
Enumeration Date
May 30, 2005
Last Updated
Jun 7, 2015

Practice Location

Address
2915 MADISON ST
State
Florida
ZIP Code
32446-3449
Phone
(850) 526-2460

Specialties & Taxonomy Codes

Specialty
Urology

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