Dr. Lan Q Ta, M.D.
Internal Medicine in Melbourne, FL. Individual provider (NPI-1).
NPI number1760619563
StatusActive
Last updated in NPPESAug 19, 2026
Details
- NPI
- 1760619563
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lan Q Ta
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2009
- Certification date
- Aug 19, 2026
- Last updated
- Aug 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME132166 | FL | Yes |
| 208M00000X | Hospitalist | ME132166 | FL | |
| 207R00000X | Internal Medicine | 24008 | MS | |
| 208M00000X | Hospitalist | 205729 | LA | |
| 207R00000X | Internal Medicine | md205729 | LA |
Practice location
1350 Hickory StMelbourne, FL 32901-3224
Phone 321-434-1771 · Fax 321-434-1775
Mailing address
36800 Winfield CtGrand Island, FL 32735-9131
Phone 321-695-4395
Other practice locations
7777 Hennessy Blvd Ste 701
Baton Rouge, LA 70808-4370
Baton Rouge, LA 70808-4370
Phone 225-765-5864 · Fax 225-765-2013
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Lafayette, LA 70508-6917
Phone 337-470-2605 · Fax 337-470-4595
6564 Fleur De Lis Drive #1
New Orleans, LA 70124-1001
New Orleans, LA 70124-1001
Phone 321-695-4395
150 Reynoir St
Biloxi, MS 39530-4130
Biloxi, MS 39530-4130
Phone 228-392-7760
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