Individual
DR. VICTOR SUNGSHU LAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2255 PHILADELPHIA STREET, INDIANA, PA 15701
(724) 349-1616
(724) 349-4834
Mailing address
2255 PHILADELPHIA STREET, INDIANA, PA 15701
(724) 349-1616
(724) 349-4834
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD037195L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007231840001
—
PA
05
—
0007231840004
—
PA
Enumeration date
06/13/2006
Last updated
02/08/2010
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