Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | MD.203192 | LA |
N | 207N00000X | Dermatologist | Q9754 | TX |
Y | 207ND0101X | MOHS-Micrographic Surgeon | MD.203192 | LA |
N | 207ND0101X | MOHS-Micrographic Surgeon | Q9754 | TX |
N | 207NS0135X | Procedural Dermatology | MD.203192 | LA |
N | 208D00000X | General Practice Physician | 203192 | LA |
NPI | 1376710913 |
---|---|
Provider Name | Diane Ngan Trieu |
First Address | New Orleans, LA 70112-2632 |
Second Address | New Orleans, LA 70112-2632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2008 |
Last Update Date | 20/10/2020 |