Individual
DR. THIEN TIEN LUU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 W 21ST ST, #E-2, CLOVIS, NM 88101-4087
(575) 762-3726
(575) 762-3727
Mailing address
2000 W 21ST ST, #E-2, CLOVIS, NM 88101-4087
(575) 762-3726
(575) 762-3727
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
84-70
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33779
—
NM
Enumeration date
05/17/2006
Last updated
11/30/2010
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