Individual
DR. LUAN MINH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9936 FLORIDA BLVD, SUITE B, BATON ROUGE, LA 70815-1402
(225) 927-8772
(225) 927-3563
Mailing address
9936 FLORIDA BLVD, SUITE B, BATON ROUGE, LA 70815-1402
(225) 927-8772
(225) 927-3563
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10055R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1988049
—
LA
Enumeration date
07/28/2006
Last updated
10/02/2015
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