SUSAN C. LAN


Address: 4721 Bellyache Ridge Rd, Wolcott, CO 81655
Phone: 9703061448

SUSAN C. LAN (NPI# 1780709642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780709642
Entity Type Individual
Full Name SUSAN C. LAN
Credential DO, MPH
Practice Address 4721 Bellyache Ridge Rd
Wolcott
CO 81655
Mailing Address Po Box 4531
Edwards
CO 81632-4531
Practice Telephone 9703061448
Practice Fax Number 9709260560
Mailing Telephone 9703061448
Mailing Fax Number 9709260560
Enumeration Date 2007-03-20
Last Update Date 2011-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
20A11103 CA Allopathic & Osteopathic Physicians
N 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
L1364 TX Allopathic & Osteopathic Physicians
N 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
OS9330 FL Allopathic & Osteopathic Physicians
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
44607 CO Allopathic & Osteopathic Physicians

Office Location

Street Address 4721 BELLYACHE RIDGE RD
City WOLCOTT
State CO
Zip Code 81655

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NPI Name Taxonomy Address Enumeration
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1356968887 Heather Hogaboom Registered Nurse 139 Coe Rd, Wolcott, CT 06716-2513 2020-07-01
1346866001 Timothy Ricciardello Social Worker 2948 E Hill Rd, Wolcott, VT 05680-4097 2020-06-18
1316560089 Sean Thomas Marcil Counselor 1776 Meriden Rd Rear Unitb, Wolcott, CT 06716-3341 2020-05-28
1487276465 Laura Marie Michelle Lavin Nurse Practitioner 503 Wolcott Rd Ste 3, Wolcott, CT 06716-2673 2020-05-12
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Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326673377 Colorado Ocupational Medical Partners, Inc. Preventive Medicine 3910 S Carefree Cir Ste B, Colorado Springs, CO 80917-3053 2020-03-10
1477188423 Colorado Ocupational Medical Partners, Inc. Preventive Medicine 13111 E Briarwood Ave Ste 100, Centennial, CO 80112-3925 2020-03-10
1881255958 Carolyn Diguiseppi Preventive Medicine 13001 E 17th Pl # B245, Aurora, CO 80045-2570 2019-06-27
1508421785 Juli M Joyce Preventive Medicine 360 Peak One Dr #230, Frisco, CO 80443 2019-05-03
1164967006 Kevin Griffith Preventive Medicine 1308 Avenida Del Sol, Durango, CO 81301-4973 2017-01-02
1427423995 Daniel Shodell Preventive Medicine 4300 E Cherry Creek Dr. South, Denver, CO 80246 2015-12-09
1194140673 Rachel Katherine Herlihy Preventive Medicine 4300 Cherry Creek Drive S, Denver, CO 80246 2014-02-20
1003150335 Alice Boudreau Preventive Medicine 860 Steele St, Denver, CO 80206-3945 2012-11-27
1003174384 Oluyomi Obafemi Preventive Medicine 12631 E 17th Ave Ofc 3205, Aurora, CO 80045 2012-04-24
1679843163 Herbert Leon Jacobs Preventive Medicine 121 S Clermont St, Denver, CO 80246-1036 2011-12-30
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Competitor

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City WOLCOTT
Zip Code 81655

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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