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Individual

DR. MINH-PHUONG LU DOAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12255 FAIR LAKES PKWY, KAISER PERMANENTE, FAIRFAX, VA 22033-3952
(702) 934-5700
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101240225
VA
207W00000X
Ophthalmology Physician
A90807
CA
207W00000X
Ophthalmology Physician
D0064828
MD
207W00000X
Ophthalmology Physician
MD34002
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A908070
MEDI CAL
CA
Enumeration date
07/25/2006
Last updated
06/07/2021
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