Individual
LAN NGOC LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 RIVER WALK MALL, SOUTH CHARLESTON, WV 25303-1026
(214) 725-7992
Mailing address
504 ROXALANA HILLS DR, DUNBAR, WV 25064-1934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042206
MI
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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