Stephanie Tan
Stephanie Tan is a Student in an Organized Health Care Education/Training Program in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2020.
- Licensed in
- IN
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
2347 Cason StLafayette, IN 47904-2670
Phone: (765) 447-6808
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 12013876A (IN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1326657511 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 23, 2020 |
| Last updated in NPPES | July 28, 2022 |
| Certification date | July 28, 2022 |
| Mailing address | 326 Double Tree Dr, Lafayette, IN 47905-8909 |
Other providers in Lafayette
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Hassaan Siddiqui, DO
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Christy Stoller
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Yuanyuan Tan, MD
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