LANA NGOC PHO

SALT LAKE CITY, UT
NPI1013160548
Former NameTHANH LAN NGOC PHO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: UT  51102031205)
Enumeration Date2008-10-28
Last Update Date2021-09-15
Business Address
DR. LANA NGOC PHO M.D.
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-1102
Phone number: 801-587-6340
Mailing Address
DR. LANA NGOC PHO M.D.
PO BOX 3208
SALT LAKE CITY, UT 84110-3208
Phone number: 801-587-6340