Individual
LAN PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-0174
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
241406
MA
207ZP0101X
Anatomic Pathology Physician
Primary
N9764
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110082562A
—
MA
Enumeration date
06/09/2008
Last updated
10/31/2011
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