Individual
LIAN LIEW TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4155 TUDOR CENTRE DR, SUITE #103, ANCHORAGE, AK 99508-5902
(907) 854-8624
Mailing address
4201 TUDOR CENTRE DR, SUITE # 320, ANCHORAGE, AK 99508-5904
(907) 729-8624
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
48
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP2965
—
AK
Enumeration date
02/27/2007
Last updated
12/20/2012
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