Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 6829 | NE |
NPI | 1093090888 |
---|---|
Provider Name | Dr. Hoang-Oanh Le |
First Address | Lincoln, NE 68506-1571 |
Second Address | Lincoln, NE 68506-1571 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2011 |
Last Update Date | 28/06/2012 |