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Individual

DR. JOHN TU THIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
843 MILLING AVE, LULING, LA 70070-4442
(504) 271-8952
(504) 278-4692
Mailing address
7718 W JUDGE PEREZ DR, ARABI, LA 70032-1919
(504) 271-8952
(504) 278-4692

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD020686
LA
207R00000X
Internal Medicine Physician
Primary
020686
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020686
LA LICENSE #
LA
05
1444642
LA
05
1966266
LA
05
2137689
LA
Enumeration date
08/21/2006
Last updated
03/18/2011
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