Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lukas H Tan, MD

Individual provider Pediatrics Physician · NPI 1104885789

Dr. Lukas H Tan, MD is a Pediatrics Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

655 W 8th St Ufjp Neonatology
Jacksonville, FL 32209-6511
Phone: (904) 244-4254
Fax: (904) 244-4301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence ME54721 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME54721 (FL)

Record details

NPI number1104885789
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2006
Last updated in NPPESAugust 7, 2019
Mailing addressPo Box 44008, Ufjp Provider Enrollment, Jacksonville, FL 32231-4008

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