Organization
LIAN JEN DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIAN JEN DO PA (PHYSICIAN)
(941) 627-9768
Entity
Organization
Contact information
Practice address
3089 TAMIAMI TRAIL, SUITE B, PORT CHARLOTTE, FL 33952
(941) 627-9768
(941) 627-2785
Mailing address
3089 TAMIAMI TRAIL, SUITE B, PORT CHARLOTTE, FL 33952
(941) 627-9768
(941) 627-2785
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS09374
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49234
BCBS
FL
Enumeration date
09/20/2006
Last updated
04/07/2008
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