Individual
LANA NGOC PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1000
Mailing address
5121 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-7516
(629) 293-7320
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27855
MS
Other
Enumeration date
03/22/2016
Last updated
11/12/2020
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