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Individual
DR. LAN Q TA
Active
Individual
DR. LAN Q TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24008
MS
207R00000X
Internal Medicine Physician
MD205729
LA
207R00000X
Internal Medicine Physician
Primary
ME132166
FL
208M00000X
Hospitalist Physician
205729
LA
208M00000X
Hospitalist Physician
ME132166
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100981500
—
FL
01
—
JM828
MEDICARE
FL
Enumeration date
06/18/2009
Last updated
08/19/2026
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