| L Tan MD LC | |
|
2915 Madison St Marianna FL 32446-3449 | |
| (850) 536-2460 | |
| Not Available |
| Full Name | L Tan MD LC |
|---|---|
| Speciality | General Practice |
| Location | 2915 Madison St, Marianna, Florida |
| Authorized Official Name and Position | L Tan (MGR) |
| Authorized Official Contact | 9045370954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L Tan MD LC 2915 Madison St Marianna FL 32446-3449 | L Tan MD LC 2915 Madison St Marianna FL 32446-3449 Ph: (850) 536-2460 |
| NPI Number | 1346303088 |
|---|---|
| Provider Enumeration Date | 12/17/2006 |
| Last Update Date | 07/18/2026 |
| Certification Date | 07/18/2026 |
| Medicare PECOS PAC ID | 8921081191 |
|---|---|
| Medicare Enrollment ID | O20040609000691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346303088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME339964 (Florida) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | () | Secondary |
| Provider Name | Lay Hwee Tan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235132762 PECOS PAC ID: 1557344728 Enrollment ID: I20040609000743 |
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