Lan Q Ta is a Internal Medicine Physician based in Grand Island, FL. Lan Q Ta practices in Melbourne, FL and has the professional credentials of MD. The NPI Number for Lan Q Ta is 1760619563 and holds a License No. MD205729 (Florida).
The current practice location address for Lan Q Ta is 1350 Hickory St, Melbourne, FL and can be reached out via phone at 321-434-1771 and via fax at 321-434-1775.
Identifier | Type | State | Issuer |
---|---|---|---|
100981500 | 05 | FL | |
JM828 | 01 | FL | MEDICARE |
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