# LIAN JEN DO PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588762058
- **Authorized official:** DR. LIAN JEN DO PA (PHYSICIAN)
- **Authorized official phone:** (941) 627-9768

## Contact information

- **Practice address:** 3089 TAMIAMI TRAIL, SUITE B, PORT CHARLOTTE, FL 33952
- **Practice address phone:** (941) 627-9768
- **Practice address fax:** (941) 627-2785
- **Mailing address:** 3089 TAMIAMI TRAIL, SUITE B, PORT CHARLOTTE, FL 33952
- **Mailing address phone:** (941) 627-9768
- **Mailing address fax:** (941) 627-2785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | OS09374 | FL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 04/07/2008