Individual
DR. LAWRENCE S PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
(612) 294-4903
Mailing address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
268512
NY
2085R0202X
Diagnostic Radiology Physician
Primary
268512
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03570830
—
NY
Enumeration date
05/13/2010
Last updated
03/09/2026
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