Individual
FONGLAN LUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6720 NW 174TH TER APT 18K, HIALEAH, FL 33015-5852
(305) 804-7777
Mailing address
6720 NW 174TH TER APT 18K, HIALEAH, FL 33015-5852
(305) 804-7777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9357754
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9357754
FL
Other
Enumeration date
12/18/2017
Last updated
06/24/2019
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