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Individual

DR. LAN KRISTIE THIEN LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2985 S STATE HIGHWAY 360, SUITE 140, GRAND PRAIRIE, TX 75052-7615
(972) 602-1166
(972) 602-1160
Mailing address
2985 S STATE HIGHWAY 360, SUITE 140, GRAND PRAIRIE, TX 75052-7615
(972) 602-1166

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N3133
TX

Other

Enumeration date
05/08/2007
Last updated
01/20/2011
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