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Individual

MR. CONG T VO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
107 MONTROSE AVENUE, SUITE D, LAFAYETTE, LA 70503
(337) 981-9316
(337) 981-8303
Mailing address
100 ASMA BOULEVARD, SUITE 385, LAFAYETTE, LA 70508
(337) 981-9316
(337) 981-8303

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
15910
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1321915
LA
Enumeration date
04/06/2006
Last updated
11/30/2018
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