MEDICARE: LAN HEALTH LLC

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
1	207QA0505X	Adult Medicine Physician
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1114880994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAN HEALTH LLC

Provider Business Mailing Address
First Line	:	2500 E HALLANDALE BEACH BLVD STE Q
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4858
Country	:	US
Telephone Number	:	786-564-6404
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 E HALLANDALE BEACH BLVD STE Q
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4858
Country	:	US
Telephone Number	:	786-564-6404
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HERMANN A LANGE
Credential	:
Telephone Number	:	786-564-6404

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “LAN HEALTH LLC ” Practice Location

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