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NPI Code Detail

MEDICARE: MISS LIH YEEN TAN CGC, CCGC

MEDICARE:  MISS LIH YEEN  TAN  CGC, CCGC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1114917002
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LIH YEEN TAN CGC, CCGC
Provider Business Mailing Address
First Line : 200 HAWKINS DR
Second Line : UNIVERSITY OF IOWA HOSPITALS AND CLINICS, 2606 JCP
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-356-7970
Fax Number : 319-356-3347
Provider Business Practice Location Address
First Line : 200 HAWKINS DR
Second Line : UNIVERSITY OF IOWA HOSPITALS AND CLINICS, 2606 JCP
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-356-7970
Fax Number : 319-356-3347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 07/08/2007

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Directions to “ MISS LIH YEEN TAN CGC, CCGC” Practice Location

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