DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: L TAN M.D.

MEDICARE: L TAN M.D.
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
1208800000XUrology PhysicianME33964FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1123513762OTHERFLNPI

General Provider Information

NPI Number : 1235132762
Entity Type Code : Individual
Provider Name (Legal Business Name) : L TAN M.D.
Provider Business Mailing Address
First Line : 2915 MADISON ST
Second Line :
City : MARIANNA
State : FL
Zip : 32446-3449
Country : US
Telephone Number : 850-526-2460
Fax Number : 850-482-5450
Provider Business Practice Location Address
First Line : 2915 MADISON ST
Second Line :
City : MARIANNA
State : FL
Zip : 32446-3449
Country : US
Telephone Number : 850-526-2460
Fax Number : 850-482-5450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2005
Last Update Date : 06/07/2015

Similar Medicare Providers

1346303088 — L TAN MD LC
Practice Location Address:
2915 MADISON ST
MARIANNA, FL
32446-3449
Practice Phone: 850-536-2460
Practice Fax:
1881964120 — CHRIS FOX LLC
Practice Location Address:
2915 MADISON ST
MARIANNA, FL
32446-3449
Practice Phone: 850-536-2460
Practice Fax:
1639204415 — MRS. ABBY MARIE STRICKLAND ARNP
Practice Location Address:
4636 HIGHWAY 90 STE M
MARIANNA, FL
32446-3508
Practice Phone: 850-693-7424
Practice Fax:
1508738691 — KAYLA NICOLE ROBERTS FNP-C
Practice Location Address:
6016 CROSS COUNTRY BLVD
MARIANNA, FL
32446-2511
Practice Phone: 850-693-8693
Practice Fax:
1811990005 — MRS. DEBORAH E NEWSOME ARNP-C
Practice Location Address:
4979 HEALTHY WAY
MARIANNA, FL
32446-7993
Practice Phone: 850-526-2412
Practice Fax: 850-718-0383
1073516274 — DR. JIRAYOS CHINTANADILOK M.D.
Practice Location Address:
4296 5TH AVENUE
MARIANNA, FL
32446-2173
Practice Phone: 850-482-2061
Practice Fax: 850-482-6617

Directions to “ L TAN M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.