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Organization
THU V. LE, M.D.
Active
Organization
THU V. LE, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THU V LE M.D. (OWNER)
(253) 627-6128
Entity
Organization
Contact information
Practice address
1212 S 11TH ST, SUITE 39, TACOMA, WA 98405-4021
(253) 627-6128
Mailing address
1212 S 11TH ST, SUITE 39, TACOMA, WA 98405-4021
(253) 627-6128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00021181
WA
261QP2300X
Primary Care Clinic/Center
MD00021181
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198160
L&I
WA
05
—
7129893
—
WA
Enumeration date
03/14/2008
Last updated
03/14/2008
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