Individual
LAWRENCE LANE FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11555 UNIVERSITY BLVD, SUGAR LAND, TX 77478-3889
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G8099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116683707
—
TX
05
—
116683708
—
TX
05
—
116683709
—
TX
Enumeration date
11/01/2006
Last updated
04/20/2020
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