Basic Information
| Provider Information | |||||||||
| NPI: | 1225233653 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAN | ||||||||
| FirstName: | BILLY | ||||||||
| MiddleName: | YU-ANG | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 63362 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282633362 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196204700 | ||||||||
| FaxNumber: | 9196204921 | ||||||||
| Practice Location | |||||||||
| Address1: | 2301 ERWIN RD | ||||||||
| Address2: | |||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277054699 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196848111 | ||||||||
| FaxNumber: | 9196204921 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2007 | ||||||||
| LastUpdateDate: | 11/30/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MDR-5306 | HI | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 57.018107 | OH | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 2016-01987 | NC | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.