Individual provider · NPI-1

Dr. Lyndon Sidney Chan, MD

Otolaryngology · Durham, NC

NPI number1902383763
StatusActive
Last updated in NPPESJul 24, 2018

Details

NPI
1902383763
Entity type
Individual (NPI-1)
Name
Dr. Lyndon Sidney Chan
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 24, 2018
Last updated
Jul 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology239186NCYes

Practice location

2301 Erwin Rd
Durham, NC 27705-4699

Phone 919-684-8111

Mailing address

2301 Erwin Rd
Durham, NC 27705-4699

Phone 919-684-8111

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