Individual
CAROL KA-LAP CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.141061
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446163
—
OH
Enumeration date
04/12/2016
Last updated
01/07/2025
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