Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | L0362 | TX |
Y | 207RP1001X | Pulmonary Disease | L0362 | TX |
N | 207RS0012X | Sleep Medicine | L0362 | TX |
NPI | 1063435147 |
---|---|
Provider Name | Dr. Charlie K Lan |
First Address | Houston, TX 77025-2417 |
Second Address | Houston, TX 77030-4211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 17/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H17890 | (02) | TX |