| Doctor Name: | LIAN LIEW TAN |
| NPI Number: | 1023145166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 48 |
| Business Practice Address: | 4155 Tudor Centre Dr Suite #103 Anchorage, AK - 995085902 |
| Business Phone Number: | 9078548624 |
| Business Fax Number: | |
| Mailing Address: | 4201 Tudor Centre Dr, Suite # 320 ANCHORAGE |
| State: | AK |
| Postal Code: | 995085904 |
| Phone Number: | 9077298624 |
| Fax Number: | 9077298607 |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 12/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 48 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |