Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MT191841 | PA |
NPI | 1013100874 |
---|---|
Provider Name | Dr. Lan Thuy Truong |
First Address | Tulare, CA 93274-2231 |
Second Address | Tulare, CA 93274-2231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2007 |
Last Update Date | 07/01/2011 |