LAN NGOC VAN

BAY PINES, FL
NPI1144327453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME 77019)
Additional Taxonomies207Q00000X Family Medicine
(Licence: NJ  MA66128)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
-- LAN NGOC VAN md
10000 BAY PINES BLVD
BAY PINES, FL 33744
Phone number: 727-398-6661
Mailing Address
-- LAN NGOC VAN md
8147 WILD OAKS WAY
LARGO, FL 33773-2823
Phone number: 727-812-6031