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1255951893
PHUONG MY LANE
LOS ANGELES, CA
NPI
1255951893
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Former Name
PHUONG M LU
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2020-04-23
Last Update Date
2020-04-23
Business Address
Mrs. PHUONG MY LANE BS
815 COLORADO BLVD STE 300
LOS ANGELES, CA 90041-1744
Phone number: 323-543-2800
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Mailing Address
Mrs. PHUONG MY LANE BS
323 S AVENUE 57 APT 1
LOS ANGELES, CA 90042-5204
Phone number: 213-219-7861
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