Organization
TONY W. LEUNG, M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY W LEUNG M.D. (OWNER)
(337) 497-0366
Entity
Organization
Contact information
Practice address
105 DR. MICHAEL DEBAKEY DRIVE, LAKE CHARLES, LA 70606
(337) 497-0366
(337) 497-1367
Mailing address
P.O. BOX 6574, LAKE CHARLES, LA 70606
(337) 497-0366
(337) 497-1367
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
07961R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386812
—
LA
Enumeration date
12/22/2011
Last updated
12/22/2011
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