Individual
CAC THANH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
851 MANHATTAN BLVD, SUITE A, HARVEY, LA 70058
(504) 368-4392
(504) 368-4396
Mailing address
851 MANHATTAN BLVD, SUITE A, HARVEY, LA 70058
(504) 368-6686
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
07096R
LA
208000000X
Pediatrics Physician
A44730
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366277
—
LA
Enumeration date
10/24/2006
Last updated
07/08/2007
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