Central Taiwan is among the most heavily polluted regions in Taiwan because of a complex mixing of local emissions from intense anthropogenic activities with natural dust. Long-range transport (LRT) of pollutants from outside Taiwan also contributes critically to the deterioration of air quality, especially during the northeast monsoon season. To identify the sources of particulate matter <10 μm (PM10) in central Taiwan, this study performed several sampling campaigns, including three local events, one LRT event, and one dust storm event, during the northeast monsoon season of 2018/2019. The PM10 samples were analyzed for water-soluble ion and trace metal concentrations as well as Pb isotope ratios. Local river sand/soil samples were also collected and analyzed to constrain chemical/isotopic signatures of natural sources. The Pb isotope data were interpreted together with the enrichment factors of trace metals in PM10, and reanalysis data sets were used to delineate the sources of PM10 in central Taiwan. Our results suggested that PM10 was predominantly contributed by oil combustion and oil refineries during the local events (48%–88%), whereas the lowest contributions were from coal combustion (<21%). During periods of high wind speed, the contribution from natural sources increased significantly from 7% to 31%. Moreover, the Pb isotopic signals of PM10 collected during the LRT event confirmed the impact of LRT from Mainland China, and the chemical characteristics of the PM10 significantly differed from those of the PM10 collected during local events. This study demonstrates the robustness of using a combination of Pb isotopic compositions and enrichment factors in PM10 for source apportionment in complex and heavily polluted areas.