Individual
LAN LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 W 168TH ST, THIRD FLOOR, NEW YORK, NY 10032-3726
(212) 305-9718
Mailing address
710 W 168TH ST, THIRD FLOOR, NEW YORK, NY 10032-3726
(212) 305-9718
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
278548
NY
Other
Enumeration date
05/03/2011
Last updated
07/14/2015
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