Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 0101-045181 | VA |
NPI | 1184735334 |
---|---|
Provider Name | Dr. Lan Chau Tu |
First Address | Falls Church, VA 22044-2034 |
Second Address | Falls Church, VA 22044-2304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 15/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5605750 | (05) | VA |
E65040 | (02) |