Individual
LOANN TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13451 SE 36TH ST, BELLEVUE, WA 98006-1475
(425) 562-1316
(425) 562-4601
Mailing address
13451 SE 36TH STREET, BELLEVUE, WA 98006-1454
(425) 562-1337
(425) 562-1331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60792175
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2016
Last updated
05/04/2021
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