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1679525349
LUCAS GO TAN
SAN JOSE, CA
NPI
1679525349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA A25847)
Enumeration Date
2006-05-17
Last Update Date
2017-01-25
Business Address
-- LUCAS GO TAN MD
989 STORY RD UNIT 8063
SAN JOSE, CA 95122-4620
Phone number: 408-259-5000
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Mailing Address
-- LUCAS GO TAN MD
10165 DOUGHERTY AVE
MORGAN HILL, CA 95037
Phone number: 408-778-2417
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