Individual
ALVIN J LAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 ELZORA ST, MILTON FREEWATER, OR 97862-9454
(469) 524-5563
Mailing address
1270 STRASSNER DR UNIT 3307, BRENTWOOD, MO 63144-1887
(314) 662-6505
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2019026215
MO
208100000X
Physical Medicine & Rehabilitation Physician
CP000390T
OR
225100000X
Physical Therapist
Primary
63890
OR
Other
Enumeration date
04/01/2020
Last updated
01/31/2023
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