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

Lancy Mimi Tan, MD

Individual provider Surgery Physician · NPI 1073044301

Lancy Mimi Tan, MD is a Surgery Physician in Shoreline, Washington. Licensed in Oregon and Washington. Registered with an NPI since 2017.

Licensed in
OR, WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

19930 Ballinger Way NE
Shoreline, WA 98155-1223
Phone: (425) 778-2220
Fax: (425) 778-7701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD61170965 (WA)
Surgery Physician Taxonomy 208600000X · Licence MD210187 (OR)

Record details

NPI number1073044301
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing address19930 Ballinger Way Ne, Shoreline, WA 98155-1223

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