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Individual
LAN CHANG
Active
Individual
LAN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT191020
PA
207W00000X
Ophthalmology Physician
Primary
MD2012-0458
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47278781
—
NM
01
—
P01114041
MEDICARE RAILROAD CARRIER
NM
Enumeration date
07/17/2007
Last updated
11/07/2023
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