Individual
DIANA MAI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9208 SOUTHLAWN DR, BATON ROUGE, LA 70810-2683
(318) 509-9554
Mailing address
9208 SOUTHLAWN DR, BATON ROUGE, LA 70810-2683
(318) 509-9554
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
05/05/2025
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