Individual
JIAN FANG LAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURIST
Contact information
Practice address
9001 ROOSEVELT AVE # A, JACKSON HEIGHTS, NY 11372-7938
(718) 205-4812
(718) 205-5946
Mailing address
3435 91ST ST, JACKSON HEIGHTS, NY 11372-3604
(718) 651-0678
(718) 651-0678
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000495
NY
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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