Leung, Tony Wong

Leung, Tony Wong is an individual health care provider with primary practice located at 105 S Ryan St , Lake Charles LA 70601-5950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Leung, Tony Wong can be contacted via phone (337) 497-0366.

Contact Information

Primary practice address
105 S Ryan St Lake Charles LA 70601-5950
Fax: (337) 497-1367
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 07961R Louisiana

Profile Details

NPI number 1881693463
LBN Legal business name Leung, Tony Wong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Dec 5th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881693463 NPPES
Louisiana MEDICAID 1386812

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