Susan C Lan, DO, MPH is a
Preventive Medicine - Public Health & General Preventive Medicine physician based in Wolcott, Colorado. Susan C Lan is licensed to practice in Colorado (license number 44607) and her current practice location is 4721 Bellyache Ridge Rd, Wolcott, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 306-1448.
NPI number for Susan C Lan is 1780709642 and her current mailing address is Po Box 4531, Edwards, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780709642.
Physician's Profile
| Full Name | Susan C Lan |
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| Gender | Female |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 4721 Bellyache Ridge Rd, Wolcott, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780709642
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 04/14/2011
Medical Identifiers
Medical identifiers for Susan C Lan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780709642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 44607 (Colorado) | Primary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | OS9330 (Florida) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | L1364 (Texas) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 20A11103 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan C Lan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan C Lan, DO, MPH
Po Box 4531,
Edwards, CO 81632-4531
Ph: (970) 306-1448 | Susan C Lan, DO, MPH
4721 Bellyache Ridge Rd,
Wolcott, CO 81655
Ph: (970) 306-1448 |
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