Individual
DR. THAO PHUONG DOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1135 SOUTH MORRISON BLVD, HAMMOND, LA 70403
(985) 340-7816
(985) 340-3834
Mailing address
18044 OLD COVINGTON HWY, APT 309, HAMMOND, LA 70403-0659
(504) 512-1753
(985) 340-3834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022120
LA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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