Lee, Kwan Lan

Lee, Kwan Lan is an individual health care provider with primary practice located at 6701 N Charles St Ste 4226 , Towson MD 21204-6808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lee, Kwan Lan can be contacted via phone (410) 296-4616.

Contact Information

Primary practice address
6701 N Charles St Ste 4226 Towson MD 21204-6808
Phone: (410) 296-4616
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R146285 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X L6-0A00361 Delaware

Profile Details

NPI number 1659373173
LBN Legal business name Lee, Kwan Lan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659373173 NPPES
Mh Other R146285 STATE LICENSE
Mh MEDICAID 402774400 STATE LICENSE

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