Organization
LIAN S CHANG MD. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIAN CHANG M.D. (OWNER)
(651) 628-0368
Entity
Organization
Contact information
Practice address
17900 GULF BLVD APT 7A, REDINGTON SHORES, FL 33708-1102
(651) 408-3978
(651) 636-7273
Mailing address
17900 GULF BLVD APT 7A, REDINGTON SHORES, FL 33708-1102
(651) 408-3978
(651) 636-7273
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
ME98853
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AK187
MEDICARE PTAN
FL
Enumeration date
04/10/2013
Last updated
04/10/2013
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