Tan, Lukas H

Tan, Lukas H is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Neonatology, Jacksonville FL 32209-6511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Tan, Lukas H can be contacted via phone (904) 244-4254.

Contact Information

Primary practice address
655 W 8Th St Ufjp Neonatology Jacksonville FL 32209-6511
Phone: (904) 244-4254
Fax: (904) 244-4301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME54721 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME54721 Florida

Profile Details

NPI number 1104885789
LBN Legal business name Tan, Lukas H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Aug 7th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104885789 NPPES
Florida MEDICAID 3704947-00
Florida MEDICAID 975031480A

Popular Providers