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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LAN Q TA, M.D.

Active

DR. LAN Q TA, M.D. is a Internal Medicine healthcare provider located in MELBOURNE, Florida. NPI 1760619563 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · MELBOURNE, FL

Registration Details

NPI Number
1760619563
Provider Type
Individual
Gender
Male
NPI Issued
Jun 18, 2009 (17.171578559558 yrs)
Last Updated
Jul 19, 2021
Licenses
MD205729 (LA)
24008 (MS)
205729 (LA)
ME132166 (FL)
ME132166 (FL)

Practice Information

Address
1350 HICKORY ST
MELBOURNE, FL, 329013224
Browse FL providers · Browse ZIP 32901
Phone
3214341771
Fax
3214341775
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Additional Specialty
Hospitalist
Additional Specialty
Hospitalist
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in MELBOURNE, FL

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.