Individual
MR. BRIAN LE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12628 HOOPER RD STE C, BATON ROUGE, LA 70818-3527
(225) 953-8170
Mailing address
14718 JAMESTOWN BLVD, BATON ROUGE, LA 70810-3499
(225) 610-9017
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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