Truong, Lan

Truong, Lan is an sole proprietor health care provider with primary practice located at 10907 101St Ave , Jamaica NY 11419-1029. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Truong, Lan can be contacted via phone (718) 441-9311.

Contact Information

Primary practice address
10907 101St Ave Jamaica NY 11419-1029
Phone: (718) 441-9311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051219 New York

Profile Details

NPI number 1710167812
LBN Legal business name Truong, Lan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2007
Last updated Jan 28th, 2009 - about 15 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 1710167812 NPPES
New York MEDICAID 02023430

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