Most Relevant Information
Provider Data
| NPI Number: | 1003254012 |
| Provider Name: | KATHERINE LILLIAN CHAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 076953 |
Most Important Dates
| Enumeration Date: | 06/12/2013 |
| Last Updated: | 11/06/2019 |
Provider Practice Location
798 EXECUTIVE DR
OVIEDO
FL
32765
Practice Location Phone/Fax
| Phone: | 4073598580 |
| Fax: | 4073598364 |
Provider Mailing Location
798 EXECUTIVE DR
OVIEDO
FL
327656392
Provider Mailing Phone/Fax
| Phone: | 4073598580 |
| Fax: |
Suggested EMR
Family Practice EMR