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

Lucy Tan

Individual provider Pediatric Pulmonology Physician · NPI 1083240014

Lucy Tan is a Pediatric Medicine in Philadelphia, Pennsylvania. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in New Jersey and Pennsylvania.

Years since qualifying
6
Licensed in
NJ, PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-3749
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Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 30 Prospect Ave Fl 3, Hackensack, NJ 07601-1915 — (551) 996-5207

Specialties & licences

Pediatric Pulmonology Physician (primary) Taxonomy 2080P0214X · Licence 25MA13037100 (NJ)
Pediatric Pulmonology Physician Taxonomy 2080P0214X · Licence MT227886 (PA)

Record details

NPI number1083240014
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2020
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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