Individual
FANGRU LIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 626-6241
(520) 626-1027
Mailing address
PO BOX 29681, PHOENIX, AZ 85038-9681
(520) 626-6241
(520) 626-1027
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
36137
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
36137
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326168
—
AZ
01
—
P00624317
RAILROAD MEDICARE
AZ
Enumeration date
08/31/2006
Last updated
11/06/2008
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