# LAN LE, DO, P.A.

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

## Provider details

- **NPI number:** 1861628844
- **Authorized official:** LAN T LE D.O. (PRESIDENT)
- **Authorized official phone:** (817) 336-7188

## Contact information

- **Practice address:** 5632 EDWARDS RANCH RD STE 100, FORT WORTH, TX 76109-4149
- **Practice address phone:** (817) 336-7188
- **Practice address fax:** (844) 231-8865
- **Mailing address:** P O BOX 678610, DALLAS, TX 75267-8610
- **Mailing address phone:** (817) 336-7188
- **Mailing address fax:** (817) 335-9039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | N2163 | TX | Yes |

## Other

- **Enumeration date:** 06/04/2009
- **Last updated:** 10/14/2021