Peng, Lan

Peng, Lan is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Peng, Lan can be contacted via phone (214) 645-0174.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7201
Phone: (214) 645-0174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 241406 Massachusetts
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X N9764 Texas

Profile Details

NPI number 1972763415
LBN Legal business name Peng, Lan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated Oct 31st, 2011 - about 14 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 1972763415 NPPES
Massachusetts MEDICAID 110082562A

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