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MAI TRUC LAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2120 DRIFTWOOD BLVD, KENNER, LA 70065-3574
(504) 443-9500
(504) 443-9522
Mailing address
2120 DRIFTWOOD BLVD, KENNER, LA 70065-3574
(504) 443-9500
(504) 443-9522

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
307196
LA
207Q00000X
Family Medicine Physician
Primary
BP10051105
TX

Other

Enumeration date
05/28/2014
Last updated
01/18/2026
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