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1033571856
LANA NGOC PHAN
JACKSON, MS
NPI
1033571856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MS 27855)
Enumeration Date
2016-03-22
Last Update Date
2020-11-12
Business Address
LANA NGOC PHAN M.D.
1850 CHADWICK DR
JACKSON, MS 39204-3404
Phone number: 601-376-1000
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Mailing Address
LANA NGOC PHAN M.D.
5121 MARYLAND WAY STE 300
BRENTWOOD, TN 37027-7516
Phone number: 629-293-7320
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