Individual
THU VAN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1212 S 11TH ST, SUITE 39, TACOMA, WA 98405-4021
(253) 627-6128
Mailing address
1212 S 11TH ST, SUITE 39, TACOMA, WA 98405-4021
(253) 627-6128
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00021181
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1314608
—
WA
05
—
8480097
—
WA
Enumeration date
11/10/2005
Last updated
03/12/2008
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