| Doctor Name: | THU VAN LE |
| NPI Number: | 1295716884 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD00021181 |
| Business Practice Address: | 1212 S 11th St Suite 39 Tacoma, WA - 984054021 |
| Business Phone Number: | 2536276128 |
| Business Fax Number: | |
| Mailing Address: | 1212 S 11th St, Suite 39 TACOMA |
| State: | WA |
| Postal Code: | 984054021 |
| Phone Number: | 2536276128 |
| Fax Number: | |
| NPI Enumeration Date: | 11/10/2005 |
| NPI Last Update Date: | 03/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00021181 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |