Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 136215 | NY |
NPI | 1164559308 |
---|---|
Provider Name | Dr. Janet Lan |
First Address | Larchmont, NY 10538-2335 |
Second Address | Larchmont, NY 10538-2335 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 20/05/2016 |