Doctor Name: | DR. FENGSHUO LAN |
NPI Number: | 1649337122 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D.,PH.D. |
License Number: | 233819 |
Business Practice Address: | Stony Brook University Cancer Ctr 3 Edmund D. Pellegrino Road Stony Brook, NY - 117940001 |
Business Phone Number: | 6316381000 |
Business Fax Number: | 6314440915 |
Mailing Address: | Stony Brook University Cancer Ctr, 3 Edmund D. Pellegrino Road STONY BROOK |
State: | NY |
Postal Code: | 117940001 |
Phone Number: | 6316381000 |
Fax Number: | 6314440915 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 06/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 233819 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |