Individual
DR. CHIAYUN LAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
27417 US HIGHWAY 27, LEESBURG, FL 34748-9084
(352) 702-4760
Mailing address
27417 US HIGHWAY 27, LEESBURG, FL 34748-9084
(352) 702-4760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN29189
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2024
Last updated
07/10/2024
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