Mo Lan Medicine P.C

Primary specialty

SpecialistTaxonomy code 174400000X

License

262717 Issued in NY

Legal business name

MO LAN MEDICINE P.C

Practice address

13304 41St Ave
Suite 1B
Flushing, NY 11355-5856

Phone

(718) 666-5058

NPI assigned

Nov 3, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lan Mo

Title

MD

Phone

(718) 666-5058

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1134592801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 41ST AVE",
            "address_2": "SUITE 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555856",
            "telephone_number": "718-666-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13304 41ST AVE",
            "address_2": "SUITE 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555856",
            "telephone_number": "718-666-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MO LAN MEDICINE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "MO",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-666-5058",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "262717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MK Vision Center
• ML Kim Physical Therapy PC
• ML Pharmacy Inc.
• MMJ Ny Consulting LLC
• MMM Health Corp
• Jessica Mo
• Lihua Mo, M.D.
• Shengjie Mo, FNP
• Shirley Mo, MD
• Xiaona Mo

• Specialist in Flushing, NY
• Providers in Flushing, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.