NPI 1245497148
Lan Tuyet Phan, DO
Practice location
- Address
- 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931
- Phone
- (321) 868-5871
- Fax
- (321) 868-5852
- Mailing address
- 3300 S Fiske Blvd, Rockledge, FL 32955-4306
Registered specialties (2)
Hospitalist Physician
Primary
Nephrology Physician
Registry record
- NPI
- 1245497148
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 May 2008
- Record last updated
- 3 Mar 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.