Individual
SUSAN C. LAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MPH
Contact information
Practice address
4721 BELLYACHE RIDGE RD, WOLCOTT, CO 81655
(970) 306-1448
(970) 926-0560
Mailing address
PO BOX 4531, EDWARDS, CO 81632-4531
(970) 306-1448
(970) 926-0560
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
20A11103
CA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
44607
CO
2083P0901X
Public Health & General Preventive Medicine Physician
L1364
TX
2083P0901X
Public Health & General Preventive Medicine Physician
OS9330
FL
Other
Enumeration date
03/20/2007
Last updated
04/14/2011
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