Provider Demographics
NPI:1164559308
Name:LAN, JANET (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:LAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:48 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-2335
Mailing Address - Country:US
Mailing Address - Phone:914-834-8662
Mailing Address - Fax:914-834-9187
Practice Address - Street 1:48 EDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-2335
Practice Address - Country:US
Practice Address - Phone:914-834-8662
Practice Address - Fax:914-834-9187
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY136215207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine