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Individual

PHONG HOANG LE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
405 W GREENLAWN AVE, #106, LANSING, MI 48910-2898
(517) 482-2118
(517) 482-6280
Mailing address
405 W GREENLAWN AVE, #106, LANSING, MI 48910-2898
(517) 482-2118
(517) 482-6280

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
PL011312
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3183030
MI
Enumeration date
02/06/2006
Last updated
07/08/2007
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