Individual
MINH DI NGOC LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 557-5855
(719) 557-5097
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TL.0009697
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0009697
CO
Other
Enumeration date
03/27/2023
Last updated
10/23/2023
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