Individual
DR. LYNN LO FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1625 ANDERSON AVE, SUITE 302, FORT LEE, NJ 07024-2748
(201) 585-0847
Mailing address
1625 ANDERSON AVE, SUITE 302, FORT LEE, NJ 07024-2748
(201) 585-0847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI01687700
NJ
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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