Lucktong, Boonsanong Ann
Lucktong, Boonsanong Ann is an individual health care provider with primary practice located at 1906 Belleview Ave Se , Roanoke VA 24014-1838. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Lucktong, Boonsanong Ann can be contacted via phone (540) 266-6288.Contact Information
Primary practice address
1906 Belleview Ave Se
Roanoke VA 24014-1838
Phone: (540) 266-6288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | 0202206409 | Virginia |
Profile Details
| NPI number | 1114495090 |
|---|---|
| LBN Legal business name | Lucktong, Boonsanong Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2018 |
| Last updated | Nov 8th, 2018 - about 6 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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