Luu, Tanga Loray

Luu, Tanga Loray is an individual health care provider with primary practice located at 3111B N Broadway , Poteau OK 74953. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Luu, Tanga Loray can be contacted via phone (918) 647-2262.

Contact Information

Primary practice address
3111B N Broadway Poteau OK 74953
Phone: (918) 647-2262
Fax: (918) 647-2282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1336424837
LBN Legal business name Luu, Tanga Loray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2011
Last updated Oct 15th, 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 1336424837 NPPES
Oklahoma MEDICAID 200123440A

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