Individual
QUI TAN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7434 PICARDY AVE, SUITE A, BATON ROUGE, LA 70808-4331
(225) 757-8808
(225) 757-8875
Mailing address
7434 PICARDY AVE, SUITE A, BATON ROUGE, LA 70808-4331
(225) 757-8808
(225) 757-8875
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD201R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531260
—
LA
01
—
95018
COVENTRY OF LA
LA
Enumeration date
06/29/2006
Last updated
07/08/2007
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