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Organization
MO LAN MEDICINE P.C
Active
Organization
MO LAN MEDICINE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAN MO (MD)
(718) 666-5058
Entity
Organization
Contact information
Practice address
13304 41ST AVE, SUITE 1B, FLUSHING, NY 11355-5856
(718) 666-5058
Mailing address
13304 41ST AVE, SUITE 1B, FLUSHING, NY 11355-5856
(718) 666-5058
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
262717
NY
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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