Search › Indiana › 363LA2100X
Lady Tan, APN
NPI 1063110369 · on the registry since 2023
Practice
- Address
- 1462 Knighthood Dr
Dyer, IN 46311 - Phone
- (508) 542-5129
Additional practice sites
- 5841 S Maryland Ave, Chicago, IL
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana