Individual
HENDRIK RYAN LUMAKANG TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
240 HOSPITAL DR, UKIAH, CA 95482-4558
(707) 467-5360
Mailing address
240 HOSPITAL DR, UKIAH, CA 95482-4558
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001406A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E6011
CA
Other
Enumeration date
06/01/2020
Last updated
02/17/2026
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