Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 024704 | LA |
Y | 207YS0123X | Facial Plastic Surgeon | ME137189 | FL |
NPI | 1154355493 |
---|---|
Provider Name | Timothy Seng Lian |
First Address | Gainesville, FL 32610-0264 |
Second Address | Gainesville, FL 32610-4228 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 01/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100731700 | (05) | FL |
1578495 | (05) | LA |
G84539 | (02) | LA |