# ALVIN J LAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174151385
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2019026215 | MO | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | CP000390T | OR | — |
| 225100000X | Physical Therapist | 63890 | OR | Yes |

## Other

- **Enumeration date:** 04/01/2020
- **Last updated:** 01/31/2023