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Individual

LAI MAN KAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P

Contact information

Practice address
6825 JIMMY CARTER BLVD, BUILDING 1400 SUITE 1490, NORCROSS, GA 30071-1228
(770) 817-9766
Mailing address
6825 JIMMY CARTER BLVD, BUILDING 1400 SUITE 1490, NORCROSS, GA 30071-1228
(770) 817-9766

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN202495
GA
363LF0000X
Family Nurse Practitioner
Primary
RN202495
GA

Other

Enumeration date
12/05/2012
Last updated
01/22/2013
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