Individual
DR. LAN MINH NGOC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2419 ALONZO ST, ABBEVILLE, LA 70510-4008
(337) 892-0630
Mailing address
207 MILTON RD, MAURICE, LA 70555-4448
(337) 892-0630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
204728
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2010
Last updated
08/30/2016
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