L Tan MD LC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME339964 Issued in FL

Legal business name

L TAN MD LC

Practice address

2915 Madison St
Marianna, FL 32446-3449

Phone

(850) 536-2460

NPI assigned

Dec 17, 2006

Organization subpart

No

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

Authorized official

Name

L TanNPI 1235132762

Title

MGR

Phone

(904) 537-0954

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• L Tan, M.D.

  • General Practice Physician
  • Marianna, FL
  • NPI 1235132762

  Urology

  Medicare reassignment NPD Authorized official
• Chris S Fox, CRNA

  • Certified Registered Nurse Anesthetist
  • Dothan, AL
  • NPI 1093812638
  NPD (past)

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784332800000",
    "number": "1346303088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 MADISON ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 MADISON ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463449",
            "telephone_number": "850-536-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L TAN MD LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-17",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "L",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "904-537-0954"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME339964",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Knowles, DMD
• Jonathan N Kolmetz, PT
• Kristen Jenkins, FNP-C, Aprn, LLC
• John William Kurpa
• L & J Hussey Enterprises, Inc.
• Amy Lambe, OTR/L
• Gregory Arnold Lambe, DC
• Caroline Rogers Lane, MD
• William K. Lanier, LCSW
• Matthew Edward Lankist, ARNP

• General Practice Physician in Marianna, FL
• Providers in Marianna, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.