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Organization

LIAN S CHANG MD. LLC

Active
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Organization

LIAN S CHANG MD. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIAN CHANG M.D. (OWNER)
(651) 628-0368
Entity
Organization

Contact information

Practice address
17900 GULF BLVD APT 7A, REDINGTON SHORES, FL 33708-1102
(651) 408-3978
(651) 636-7273
Mailing address
17900 GULF BLVD APT 7A, REDINGTON SHORES, FL 33708-1102
(651) 408-3978
(651) 636-7273

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
ME98853
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AK187
MEDICARE PTAN
FL
Enumeration date
04/10/2013
Last updated
04/10/2013
About Stedi
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